FP2020 WEBINAR: GLOBAL FINANCING FACILITYafricahbn.info/sites/default/files/resources/gff...FP2020 WEBINAR: GLOBAL FINANCING FACILITY PREPARED FOR FP2020 FOCAL POINTS IN GFF COUNTRIES

FP2020 WEBINAR: GLOBAL FINANCING FACILITY PREPARED FOR FP2020 FOCAL POINTS IN GFF

COUNTRIES

February 4, 2016

www.familyplanning2020.org

CONFERENCE OR PRESENTATION TITLE, CONFERENCE LOCATION

AGENDA

Welcome and opening remarks – FP2020/UNFPA/USAID (5 minutes)

GFF 101: Provide focal points in GFF countries with up-to-date information – Rama

Lakshminarayanan, GFF Secretariat, World Bank (15 minutes)

17 SDGs: 17 Reasons to Invest in Family Planning: guidance/examples to justify including

family planning in the investment cases – Ellen Starbird (10 minutes)

GFF as an opportunity: tools to capitalize on new RMNCAH financing mechanism – Monica

Kerrigan (7 minutes)

Reflections and status updates from each country – one representative from each country

speaks for 3-5 minutes depending on participation (23 minutes)

• Front runner countries: Ethiopia, Kenya, Tanzania

• Second wave countries: Bangladesh, Cameroon, India, Liberia, Uganda

Moderated Q&A – Martyn Smith (10 minutes)

Interactive discussion with focal point representatives – All participants (20 minutes)

The global community launched the Global Financing Facility in support of Every Woman Every Child in 2015

4

Integral part of the Global Strategy for Women’s, Adolescents’ and Children’s Health

Smart, scaled and sustainable financing to help end preventable deaths in 63 high-burden countries by 2030

The combined effects would prevent 24-38 million deaths of women, adolescents, and children by 2030

Bridging the funding gap for women’s, adolescents’ and children’s health

5

6

Overview of the GFF

Smart

Scaled

Sustainable

Results

1. Investment Cases for RMNCAH

2. Mobilization of financing for Investment Cases

3. Health financing strategies

4. Global public goods

The “what” of the GFF The “how” of the GFF The “who” of the GFF

The GFF as a broader facility

The GFF Trust Fund

Governance

7

Scope of Investment Cases

Clinical service delivery and preventive interventions

Health systems strengthening

Multisectoralapproaches

End preventable maternal and child deaths and improve the health and quality of life of women, children, and adolescents

Serv

ice

de

live

ry

app

roac

he

s

CRVS

Equity, gender, and rightsMainstreamed across areas

• Prioritizes interventions with a strong evidence base demonstrating impact• Emphasizes issues (e.g., family planning, nutrition) and target populations (e.g.,

adolescents) that have been historically underinvested in• Further focuses on improved service delivery to ensure an efficient national

response (e.g., through task-shifting, integration of service delivery, community health workers, private sector service delivery environment)

8

GFF timeline

UNGANew York

NGO and private sector consultationsGlobal

Business Plan completed

Spring MeetingsWashington, DC World Health

AssemblyGeneva

FfDAddis Ababa, Ethiopia

SEP 2014

OCT2014

DEC2014

FEB2015

APR2015

MAY 2015

JUL2015

SEP2015

GFF launch, including 2nd wave countries

BUSINESS PLANNING (incl. work in 4 frontrunner countries)OPERATIONAL PLANNING &

SETUP

FINANCING COMMITMENTSCOUNTRY & STAKEHOLDER CONSULTATIONS

GFF announcement

EWEC launch;1st Investors

Group

OPERATIONS

Process supported by multi-stakeholder Oversight Group & Business Planning Team

COUNTRY INVESTMENT CASE HEALTH FIN. STRAT. OTHER

Bangladesh Officially launched its GFF participation on Jan. 24

Analytical work underway

Ethiopia HSTP prepared through JANS process; country to distill RMNCAHY from HSTP to develop an IC. Process to be launched in Feb/March.

Draft is undergoing revisions.

CRVS strategy is also being developed. Working on ensuring links with health sector

Kenya National RMNCAH Framework, which will inform county level Investment Cases, is being finalized.

Draft Strategy is still under review at the Ministry of Health

Liberia A draft is in progress, including a costing exercise to inform the final Investment Case

Country working on a draft CRVS investment case has been drafted – prioritization is still under discussion in view of available financing

Nigeria Under discussion Under discussion

Tanzania Based on One Plan 2, Fits in the HSSP IV New government – so slowed down prior to Parliamentary approval. TWG working on it

CRVS strategy beingfinalized. Linking with health sector in birth registration

Uganda Country is now focusing on prioritization and costing of key service delivery and health system reforms

Initial draft prepared and being consulted on 9

Country Progress

GFF prioritizes interventions with a strong evidence base demonstrating impact- Youths, post partum long acting contraception and accessible pregnancy test

(Uganda)

It also emphasizes issues (e.g., family planning, nutrition) and target populations (e.g., newborns, adolescents) that have been historically underinvested in

Emerging evidences shows that ICs prioritize family planning indicators, including:- Reflected throughout One Plan 2: mCPR (Tanzania)

- Address supply side barriers for contraceptives method; and increasing coverage of postpartum FP services in facilities (Kenya)

- mCPR, Unmet Need, TFR, adolescent pregnancy rate(Ethiopia)

- Teen age pregnancy rate (Uganda)

10

Family Planning Indicators in Investment Cases

11

GFF governance at the country level: the country platform

• Preparation and finalization of Investment Case and health financing strategies

• Complementary financing

• Coordination of technical assistance and implementation support

• Coordination of monitoring and evaluation

• Not prescriptive about form

• Build on existing structures while ensuring that these embody two key principles: inclusiveness and transparency

• Diversity in frontrunner countries:• Ethiopia and Tanzania

used existing structures• Kenya established a new

national steering committee

• Government• Civil society (not-

for-profit)• Private sector• Affected

populations• Multilateral and

bilateral agencies• Technical agencies

(H4+ and others)

ApproachPartners Roles

- Countries are generally building on existing structures:

▫ In some cases (e.g., Uganda), current mechanism fully meets needs so is being used

▫ In other countries (e.g., Cameroon, DRC), existing structures are the starting point but modifications are being made to ensure inclusiveness

- Different approaches to the need for different stakeholders on Investment Case vs. health financing strategy:

▫ Some countries (e.g., Kenya) are using separate structures for the two

▫ Others (e.g., Cameroon) have one overarching body with technical subcommittees

12

Initial experiences with country platforms (1/2)

Initial experiences with country platforms (2/2)

Key requests:

- Interest in “flexible tools” to support the work of the country platform (e.g., guidelines on country platforms)

- Enthusiasm for further South-South exchanges

- Focal point at country level for communication/ coordination

- From civil society:

▫ Generally supportive of principles but interested in how minimum standards will be implemented and monitored

▫ Proposed addition of principles of accountability (of all parties) and independence

13

17 REASONS TO INVEST IN FAMILY PLANNING: ACCELERATING ACHIEVEMENT OF THE SDGS

HOW FAMILY PLANNING CONTRIBUTES TO THE ACHIEVEMENT OF

THE SDG GOALS, according to the organizing principles of the

Sustainable Development Goals – PEOPLE, PLANET, PROSPERITY,

PEACE, AND PARTNERSHIP.

PEOPLEWe are determined to end poverty and hunger, in all their forms and dimensions, and to ensure that all human beings can fulfil their potential in dignity and equality and in a healthy environment.

PLANETWe are determined to protect the planet from degradation, including through sustainable consumption and production, sustainably managing its natural resources and taking urgent action on climate change, so that it can support the needs of the present and future generations.

PROSPERITYWe are determined to ensure that all human beings can enjoy prosperous and fulfilling lives and that economic, social and technological progress occurs in harmony with nature.

PEACEWe are determined to foster peaceful, just and inclusive societies which are free from fear and violence. There can be no sustainable development without peace and no peace without sustainable development.

PARTNERSHIPWe are determined to mobilize the means required to implement this agenda through a revitalised global partnership for sustainable development, based on a spirit of strengthened global solidarity, focused in particular on the needs of the poorest and most vulnerable and with the participation of all countries, all stakeholders and all people.

- Preamble of the Sustainable Development Goals

I. FAMILY PLANNING AFFECTS PEOPLE

Family planning affects people in myriad ways – it advances human rights, helps reduce poverty and hunger, and contributes to improvements in health, education, and gender equality.

Goal 1 - No Poverty: End poverty in all its forms everywhere.

Goal 2 - Zero Hunger: End hunger, achieve food security, and improved nutrition and promote sustainable agriculture.

Goal 3 - Good Health and Well-Being: Ensure healthy lives and promote well-being for all ages.

Goal 4 - Quality Education: Ensure inclusive and quality education for all and promote lifelong learning.

Goal 5- Gender Equality: Achieve gender equality and empower women and girls.

II. FAMILY PLANNING AFFECTS THE PLANET

Slowing population growth by reducing fertility, while addressing other environmental issues, is linked to a range of improved natural resource outcomes.

Goal 6 - Clean Water and Sanitation: Ensure access to water and sanitation for all.

Goal 7 – Affordable and Clean Energy: Ensure access to affordable, reliable, sustainable and modern energy for all

Goal 9 – Industry, Innovation and Infrastructure: Build resilient infrastructure, promote sustainable industrialization and foster innovation.

Goal 11 – Sustainable Cities and Communities: Make cities inclusive, safe, resilient, and sustainable

Goal 12 – Responsible Consumption and Production

Goal 13 – Climate Action: Take urgent action to combat climate change and its impact

Goal 14 – Life Below Water: Conserve and sustainably use the oceans, seas and marine resources.

Goal 15 - Life on Land: Sustainably manage forests, combat desertification, halt and reverse land degradation, halt biodiversity loss.

III. and IV. FAMILY PLANNING AFFECTS PROSPERITYand PEACE

Goal 8 - Decent Work and Economic Growth: Promote inclusive and

sustainable economic growth, employment and decent work for all.

Goal 10 – Reduced Inequalities: Reduce inequality within and among

countries.

Goal 16 – Peace, Justice and Strong Institutions: Promote just, peaceful,

and inclusive societies.

V. FAMILY PLANNING AFFECTS PARTNERSHIP

Goal 17 - Partnerships for the Goals: Revitalize the global partnerships for

sustainable development.

Family planning goals will be achieved through global and country-level

partnerships. Global partnerships – including Family Planning 2020, the UN

Commission for Life Saving Commodities, the MDG Health Alliance, foundations,

donors, civil society organizations, and the private commercial sector -- have

made important strides in recent years in revitalizing family planning. But many

needs remain.

FAMILY PLANNING IS A BEST BUY

• Analyses show that for every dollar

invested in family planning, between

$1.47 and $4.00 is saved in maternal and

newborn health care.

• Investing in family planning, in addition

to maternal and newborn services, can

save US$1.5 billion while achieving the

same health outcomes.

• According to the new Global Investment

Framework for Women’s and Children’s

Health, scaling up modern contraceptive

methods would directly avert 54% (78

million) of the 147 million child deaths

prevented under the high investment

scenario, but would require only 4% of

intervention-specific costs between 2015-

2035.

GFF AS AN OPPORTUNITY: TOOLS TO CAPITALIZE ON NEW RMNCAH FINANCING MECHANISM


FP2020: Wheel of Action

Opportunity to Align with GFF and Integration Platforms to Maximize Impact for Women and Girls

WWW.FAMILYPLANNING2020.ORG

[email protected]

@FP2020GLOBAL

CORE PARTNERS

CIP: Link to GFF Investment Case

Gap Analysis: Mobilize

resources thru GFF

Scale up high

impact practices

Use Data to identify goals

and track progress

CSOs and Partners track

results financing, policy

commitments

Each GFF country has a

FP2020 pledge

CHECKLIST IN PREPARING FOR GFF INVESTMENT CASE


Description Documents available?

Yes

Yes

Costed Implementation Plan

All first and second wave GFF countries have costed implementation plans (multiyear road maps) with measurable goals, estimated costed budgets for supply and demand interventions harnessing both public and private sector

Performance Data

Examine the current trends and per annum increases in MCPR to:- Be ambitious and use data to project& track performance;- Examine quality, access and equity components using Track20,

PMA2020, DHS, etc.- Examine FP Goals Model/Avenir Health

YesCommodity Forecasting and Procurement

Majority of countries included forecasting and costing of commodities for their FP2020 plans.

FP2020 Commitment by Government

All commitments available on FP2020 website for GFF first wave and second wave countries including goals, financing and policy commitments

Not AllGap Analysis

Examine what is currently funded by domestic resources, bilateral and external funds and identified the resource gap

Prioritize interventions or components of the plan to “bend the curve” and request funding from the GFF

Yes

NEXT STEPS TO STRENGTHEN PARTNERSHIP BETWEEN FP2020 AND GFF COUNTRIES


Work with FP2020 Focal Points and World Bank staff to optimize the documents and data already available at country level to build the investment case

Country ownership remains a key principal

Continue to promote active engagement of country coordination including the importance of harnessing implementing partners from civil society, FBOs and private sector to catalyze change

Encourage data use for performance monitoring and management

FP2020 Secretariat available to provide technical assistance and review draft investment cases

We want to hear from you on how FP2020 can offer further assistance

GFF is an opportunity to integrate and build stronger partnerships across RMNCAH community - what are your thoughts to catalyze efforts at country level?

REFLECTIONS AND STATUS UPDATES FROM EACH COUNTRYFRONT RUNNER COUNTRIES:

ETHIOPIA, KENYA, TANZANIA

SECOND WAVE COUNTRIES:

BANGLADESH, CAMEROON, INDIA, LIBERIA, UGANDA


MODERATED Q&A


INTERACTIVE DISCUSSION ON THEMATIC TOPICS


PROPOSED TOPICS

TOPIC 1: EXCHANGE OF LESSONS LEARNED FROM GFF EXPERIENCES TO DATE

TOPIC 2: TECHNICAL ASSISTANCE – WHAT TYPE OF TA IS NEEDED AND WHAT KIND OF SUPPORT CAN BE OFFERED?

TOPIC 3: CSO PARTICIPATION – HOW TO MEANINGFULLY INCLUDE IN GFF PROCESSES?

TOPIC 4: COMMODITY FORECASTING AND PROCUREMENT

OTHERS?

CorePartners

@FP2020Global

#FP2020PROGRESS

VIEW OUR FULL REPORT

www.familyplanning2020.org/progress

CONTACT US

[email protected]