Health Systems Funding Platform

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Helping countries access donor support for health system development in a less complicated manner that is more aligned to their own national processes

UNICEF UGDA 2009-00207 Anne-Lydia-Sekandi

The Health Systems Funding Platform (the Platform) was established in 2009, at the recommendation of the High Level Taskforce on Innovative International Financing for Health Systems, as one way to accelerate progress towards the health Millennium Development Goals 4 and 5 on reducing child and maternal mortality.

The Platform brings together GAVI, the Global Fund to Fight AIDS, Tuberculosis and Malaria (The Global Fund), and the World Bank, with facilitation from the WHO, linking their support behind developing countries' national health plans.

We are supportive of efforts by the World Bank, the Global Fund and GAVI to establish, in close coordination with the WHO, a joint platform for health systems strengthening.

The G8 Muskoka Declaration: Recovery and New Beginnings

Its aim: to streamline health system strengthening (HSS) support and align with country budgetary and programmatic cycles by supporting:

  • One comprehensive health plan, that integrates both domestic funding and international aid;
  • One joint assessment of the national health strategy;
  • One budget;
  • One tracking system for funds.

Making health dollars go further

The Platform is not a global pool of health funds: funds will still flow from the participating financiers. However, integrating support from the largest providers of support for health system development does have the potential to make health dollars go further in developing countries:

  • administrative costs will fall thanks to better coordination among funders, both around existing funding and new requests for funding, reporting, financial management, monitoring and technical support;
  • there will be fewer duplicative initiatives in any single country;
  • fiduciary risk will be reduced;
  • countries will be able to leverage additional funding for HSS.

The Platform and GAVI

All GAVI countries can apply for funding through the Platform, which will eventually be the channel for all GAVI HSS support, to help achieve greater immunisation outcomes.

Principles

The Platform is in line with the principles of the Paris Declaration of Aid Effectiveness on national ownership, alignment with national systems, harmonisation between agencies, managing for results, and mutual accountability.

The Platform is open to other agencies and partners, both at the global and central level.

The Health Systems Funding Platform advanced in line with implementing countries' planning and budgetary cycles in 2010

A strong health system is like a rubber band. When stretched, it does not lose elasticity - it maintains its shape and structure.

Dr Baburam Marasini, Coordinator Health Sector Reform Unit, Ministry of Health and Population, Nepal

In Ethiopia, Nepal, Uganda and Vietnam, where new planning cycles started, the Platform partners worked with governments and civil society to assess national health plans and develop new ways of harmonising and aligning health system strengthening (HSS) support.

Application process

Together with the Global Fund, GAVI is developing two funding modalities for HSS support, which will enable countries to submit a funding request template or common proposal form to the two agencies.

In addition to preparing for new HSS grants through the Platform, GAVI is reviewing its HSS portfolio in line with the Platform principles.

GAVI and the other Platform partners are currently working to harmonise and align their HSS support to Benin, Cambodia and the Democratic Republic of Congo (DRC).

Donors unite to finance Nepal health system

The Health Systems Funding Platform is paying dividends in Nepal, with a Joint Financing Arrangement aligning support from GAVI, the Global Fund, and the World Bank for the National Health Sector Plan.

Read more

HSS Nepal UNICEF Anita Khemka
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