Providing for HealthG8 Initiative on Social Health Protection Dr. Ralf-Matthias Mohs

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The Problem

Out-of-pocket-payments (OOP) causes impoverishment:

About 1.3 billion people worldwide cannot access effective and affordable health care if needed

Every year more than ca. 150 million individuals face financial catastrophe

About 100 million individuals fall into poverty each year by the need to pay for health services

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The Problem

Lack of awareness and understanding of social health protection (SHP)

Much funding goes into vertical programmes SHP not adequately integrated into national health

plans and policies Inadequate and fragmented policy advice and

technical support High transaction costs through duplicated efforts

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International Health Partnerships

June 2007 Providing for Health (P4H)

Sept. 2007 International Health Partnership (IHP)

Sept. 2007 NORAD: Global Campaign, MDG 4, 5

Nov. 2007 Canadian Initiative to Save a Million Lives

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G8 Summit Declaration 2007 Heiligendamm

„The „Providing for Health“ initiative will create an international forum for dialogue and collaboration on the financing of health systems in poor countries and on expanding initiatives of national and international donors to improve the efficiency of increasing national and international funding.“

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Policy Consideration

Expanding Social Health Protection

Reduce out-of-pocket spending

Increase prepayment and risk pooling

Social health insurance, community based health insurance, tax-based financing, private insurance, vouchers

Putting the Paris Declaration on Aid Effectiveness into Practice

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Objective of P4H

Expanding social health protection in partner countries

Harmonizing policies

Coordinated policy advice in close cooperation with

partner countries

Sharing information and experiences

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P4H Activities

1. Coordinated support to Partner Countries

2. Building an evidence base for SHP

3. Building bridges between domestic financing for SHP and external funds

4. Communication and advocacy

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Some more facts… P4H will NOT be a new financing mechanism P4H will have a light management structure ILO, WHO, France, NORAD, BMZ will be P4H

members P4H is a partnership, all interested members are

involved in the design and further development of P4H

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International Health Partnership- Providing for Health

P4H is in the design phase P4H will work in close cooperation with the

International Health Partnership (IHP) P4H will focus on sustainable domestic health

financing structures for social health protection

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P4H adds value by:

Putting social health protection on the international and national agenda

Ensuring complementarities by pooling resources and expertise

Allowing the coordinated formulation of policies options for countries

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Thank you for your attention!