The Global Financing Facility at five: time for a change?

Seidelmann, Lisa; Koutsoumpa, Myria; Federspiel, Frederik; Philips, Mit

doi:10.1080/26410397.2020.1795446

Cited by 10 publications

(10 citation statements)

References 1 publication

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“…There often is poor representation of implementing countries in decision-making governing bodies and in discussion forums in international health financing [ 39 ]. Whilst some instruments, such as the Global Financing Facility, may increase participation of implementing countries this engagement could be seen as superficial, without participation in funding decisions [ 40 ]. Who originates engagement and participation processes has implications for interests and abilities to reform those processes.…”

Section: Resultsmentioning

confidence: 99%

Challenges in international health financing and implications for the new pandemic fund

Brown,

Rhodes,

Tacheva

et al. 2023

Global Health

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BackgroundThe failures of the international COVID-19 response highlighted key gaps in pandemic preparedness and response (PPR). The G20 and WHO have called for additional funding of $10.5 billion per year to adequately strengthen the global PPR architecture. In response to these calls, in 2022 the World Bank announced the launch of a new Financial Intermediary Fund (The Pandemic Fund) to catalyse this additional funding. However, there is considerable unclarity regarding the governance makeup and financial modalities of the Pandemic Fund, and divergence of opinion about whether the Fund has been successfully designed to respond to key challenges in global health financing.Methods/ResultsThe article outlines eight challenges associated with global health financing instruments and development aid for health within the global health literature. These include misaligned aid allocation; accountability; multistakeholder representation and participation; country ownership; donor coherency and fragmentation; transparency; power dynamics, and; anti-corruption. Using available information about the Pandemic Fund, the article positions the Pandemic Fund against these challenges to determine in what ways the financing instrument recognizes, addresses, partially addresses, or ignores them. The assessment argues that although the Pandemic Fund has adopted a few measures to recognise and address some of the challenges, overall, the Pandemic Fund has unclear policies in response to most of the challenges while leaving many unaddressed.ConclusionIt remains unclear how the Pandemic Fund is explicitly addressing challenges widely recognized in the global health financing literature. Moreover, there is evidence that the Pandemic Fund might be exacerbating these global financing challenges, thus raising questions about its potential efficacy, suitability, and chances of success. In response, this article offers four sets of policy recommendations for how the Pandemic Fund and the PPR financing architecture might respond more effectively to the identified challenges.

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Section: Resultsmentioning

confidence: 99%

Challenges in international health financing and implications for the new pandemic fund

Brown,

Rhodes,

Tacheva

et al. 2023

Global Health

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“…Despite the widespread acknowledgement of the importance of HRH for global health initiatives and the recent increase in development assistance for the health workforce [ 191 ], and despite some external commentators calling for global health partners to focus more on HRH issues [ 192 – 194 ], we found few examples of specific guidance on HRH investments. Even among partners who acknowledge that HRH are a vital investment, there can be a lack of specificity about their own HRH roles and responsibilities, which can lead to confusion when organizing technical cooperation at country level [ 195 ].…”

Section: Discussionmentioning

confidence: 97%

The roles and involvement of global health partners in the health workforce: an exploratory analysis

et al. 2023

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Development partners and global health initiatives are important actors in financing health systems in many countries. Despite the importance of the health workforce to the attainment of global health targets, the contribution of global health initiatives to health workforce strengthening is unclear. A 2020 milestone in the Global Strategy on Human Resources for Health is that “all bilateral and multilateral agencies have participated in efforts to strengthen health workforce assessments and information exchange in countries.” This milestone exists to encourage strategic investments in the health workforce that are evidence-based and incorporate a health labour market approach as an indication of policy comprehensiveness. To assess progress against this milestone, we reviewed the activities of 23 organizations (11 multilaterals and 12 bilaterals) which provide financial and technical assistance to countries for human resources for health, by mapping grey and peer-reviewed literature published between 2016 and 2021. The Global Strategy states that health workforce assessment involves a “deliberate strategy and accountability mechanisms on how specific programming contributes to health workforce capacity-building efforts” and avoids health labour market distortions. Health workforce investments are widely recognized as essential for the achievement of global health goals, and some partners identify health workforce as a key strategic focus in their policy and strategy documents. However, most do not identify it as a key focus, and few have a published specific policy or strategy to guide health workforce investments. Several partners include optional health workforce indicators in their monitoring and evaluation processes and/or require an impact assessment for issues such as the environment and gender equality. Very few, however, have embedded efforts in their governance mechanisms to strengthen health workforce assessments. On the other hand, most have participated in health workforce information exchange activities, including strengthening information systems and health labour market analyses. Although there is evidence of participation in efforts to strengthen health workforce assessments and (especially) information exchange, the achievement of this milestone of the Global Strategy requires more structured policies for the monitoring and evaluation of health workforce investments to optimize the value of these investments and contribute towards global and national health goals.

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“…This “crowding” of WB and additional domestic and external resources can help build domestic revenue for health [53] . Early reviews of the GFF suggest it has strengthened health systems through promoting health financing reforms, and addressed some health workforce constraints in rural and underserved areas [54] .…”

Section: External Assistance Investment In Health - Getting the Proce...mentioning

confidence: 99%

In with the good, out with the bad – Investment standards for external funding of health?

Fryatt,

Blecher

2023

Health Policy OPEN

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The Global Financing Facility at five: time for a change?

Cited by 10 publications

References 1 publication

Challenges in international health financing and implications for the new pandemic fund

Challenges in international health financing and implications for the new pandemic fund

The roles and involvement of global health partners in the health workforce: an exploratory analysis

In with the good, out with the bad – Investment standards for external funding of health?

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