UPDATE ON GAVI ALLIANCE, THE GLOBAL FUND AND WORLD BANK

COLLABORATIVE EFFORT FOR MORE EFFECTIVE HSS

SEPTEMBER, 2009

Exploring a potential common platform for

health systems strengthening

Growing support for harmonising and aligning HSS efforts

WHO Maximizing Positive Synergies Collaborative Group

High Level Task Force on Innovative International

Financing for Health Systems…”Establish a health systems funding platform for the Global Fund, GAVI Alliance, the World Bank and others to coordinate, mobilize, streamline and channel the flow of existing and new international resources to support national health strategies”…

…”Improve alignment of planning processes and resource allocations among Global Health Initiatives, and between Global Health Initiatives and country health systems”…

Letter from GAVI and TGF to the High Level Task Force

…”We intend to begin jointly programming GAVI Alliance and the Global Fund resources towards health systems

strengthening”...

RationaleReduced transaction costs for countries and

accelerated progress towards MDGs

Practical step to make global health aid architecture more effective

Increased global focus on health system strengthening

Possible longer-term predictable donor funding for HSS

Global financial crisis: innovation, focus, and efficiency more critical. GAVI and GF have demonstrated innovative approaches

Proposed Principles

Flexible/differentiated approach for different countries – NOT one size fits all

Commitment to IHP+ principlesImprove information sharing between the 3

agenciesFocus on country results and value for moneyCommon frameworks for HSS and

Harmonized approach to program development, approval, and implementation

Strong analytical basis for HSS

Possible Components of a Joint Approach to HSS

1. Support for national health strategy development

2. Joint HSS Processes – including Joint Assessment of National Strategies for funding HSS components

3. Common monitoring framework using annual review processes for monitoring performance

4. Common funding/disbursement channels

1. Development of National Health Strategies

Support assessments to identify HSS challenges and identify program specific and cross-cutting elements of HSS strategies

Coordinate and harmonise processes to strengthen national health plan and disease specific strategy development

2. Joint HSS Processes

Move towards a joint HSS process: Jointly assessed national health plan as the

basis for funding (in line with IHP+) Common list of principles, guidelines, and

documentation for HSS Harmonize deadlines and align with national

budget and planning cycles Harmonies guidelines and definition of HSS

(i.e. what joint funds can be used for)

Issue of independent element for GAVI and the Global Fund

3. Common monitoring using annual review process

Joint performance measurement, M&E and common indicators (aligned with IHP+)

Adequate financial support for strengthening HMIS systems where necessary

One Report – aligned with country reporting cycle

One joint partner supervision mechanism aligned with country annual join review

4. Common Funding

3 agencies are exploring options for pooled funding at the country level

Possibility of pooling funds at global level if new funds become available

Tightening links across separate funding decisions to reduce duplication

Proposed Process

Potential options developed Aug – Oct 2009

Present early options to management and governing bodies by November 2009

Consultation and learning by doing – consider 2-3 countries in 2010

Present commonly agreed options to governing bodies in mid-2010

Develop policies for roll-out in late 2010