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4th December, 2015

Global Financing Facility Country Updates


Topic
Global Financing Facility
Health Budget Advocacy


In collaboration with in-country partners, the Africa Health Budget Network has developed briefs on the status of the GFF process and CSO engagement in Kenya, Nigeria and Uganda, to share experiences across CSOs in different Global Financing Facility (GFF) countries.
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Kenya (shared November 9th)

Status of the Investment Case: a new strategy was drafted for the purposes of GFF. It has now been completed and is waiting for approval from the World Bank. There is no copy publically available at the moment though it was disseminated to key partners (it was posted on MoH website but it gives an ‘error’ message, so, not available).

Status of the health financing strategy: It will be finalized by November and some draft costing was shared at the government/world bank led consultation in August.

Status of CSO consultation: CSOs were invited to comment on the investment case at several points, starting in January 2015. Official consultations, which also included CSOs, were led by MOH, with support from UNFPA and Red Cross, with additional side consultations exclusively for CSOs, held by Advance Family Planning/ Jhpiego. Although these consultations have reached a number of CSOs, the meeting minutes and list of CSOs engaged are not publically available and numerous CSOs who have not been involved are interested in learning more and being more involved. Advance Family Planning and Family Care International are working on further improving accountability and CSO participation by devising an accountability framework for the GFF in Kenya in collaboration with other CSOs, thanks to an IPPF grant. HENNET, a consortium for health organisations is now officially responsible for organising CSO involvement in the country platform.

Has participation in the country platform already been decided or can more members still join? Participation is open.

Are meeting notes of the country platform publically available? They are available for the organizations that attend the meeting.

When is the next meeting of the Country Platform? The country platform will be having a meeting to discuss GFF in November 2015. The MNH TWG meeting is scheduled for January 2016. The last MNH TWG was in September 2015.

Who can I contact if I am a CSO and I am interested in keeping abreast of the GFF in Kenya or putting forward my concerns to one of the CSO representatives on the country platform?

  • HENNET -  John-Paul Omollo - Hennet@Amref.org
  • Red Cross -  Sylvia Kamati - khamati.sylvia@redcross.or.ke
  • Family Care International Kenya -  Melissa Wanda - mwanda@familycareintl.org
  • AFP/Jhpiego -  Angeline Mutunga -  Angeline.Mutunga@jhpiego.org

 

Uganda (drafted early November)

Status of the Investment Case: The Maternal and Child Health technical working group coordinated by the Ministry of Health is in the process of drafting the investment case, supported by a WHO-identified consultant. MOH, UN agencies, World Bank and CSO representatives are members of that technical working group. In parallel, CSOs are drafting a position paper about their priorities for the Investment Case, and are meeting in early November to discuss. A workshop will be convened in early November to discuss the draft investment case, with a view to finish it by the end of November.

Status of the health financing strategy: the technical working group is working on this strategy and will call a meeting to discuss a draft when it is ready.

Status of CSO consultation: Consultations started two weeks ago; UNASO feels like the process has been quite open and they feel consulted and engaged. Is the country platform based on an existing working group or institution? The country platform has not yet been officially convened - this will happen after the investment case is approved.

What is the country platform called? Not applicable. 

Has participation in the country platform already been decided or can more members still join? The country platform has not yet been convened so in principle membership is still open.

Are meeting notes of the country platform publicly available? The meeting notes of the introductory meetings do not appear to be publically available.

When is the next meeting of the country platform? The next meeting to review the draft Investment Case should be held sometime in early November - see contacts at the end of the update for more information.

List of current members of the country platform: MOH, World Bank, WHO, CSOs.

Who can I contact to find out more about CSO participation in GFF?

Joshua Wamboga Executive Director, Uganda Network of AIDS Service Organisations (UNASO). wamboga@unaso.or.ug

 

Nigeria (drafted late November)

Status of the Investment Case: a meeting was held by the Health Care Financing Equity and Investment (HCFE&I) technical working group which doubles as the GFF country platform on 13th November to review the updated policy on Incentivizing Health Investment in Nigeria before it is submitted to the National Council on Health for approval. This will feed into an investment case for the country. However, the RMNCAH investment case is yet to be developed.

Status of the health financing strategy: the health financing strategy is yet to be developed, a scoping exercise has been commissioned by the Federal Ministry of Health to review and collate existing policies on health financing that will feed into the health financing strategy. Status of CSO consultation: the FMOH has not officially held any consultations with CSOs in Country. A few lead CSOs including CHESTRAD, CHR, E4A, and HERFON are working hard to organize a roundtable with the involvement of the FMOH and World Bank.

Has participation in the country platform already been decided or can more members still join?

The HCFE&I TWG of the National Health Act will double as the country platform, it has over 100 members drawn widely from private, CSO and government sectors.

Are meeting notes of the country platform publicly available?

Documents meant for review and meeting notices are shared to all through a list serve, but meeting notes are not.

When is the next meeting of the Country Platform?

The meetings are very irregular and pre-determined by FMOH.

Who can I contact if I am a CSO and I am interested in keeping abreast of GFF in Nigeria or putting forward my concerns to one of the CSO representatives on the country platform?

Health Sector Reform Coalition Executive Secretary – Dr Emmanuel Abanida is the representative CSO on the Country platform and Dr Francis Okwuije of the Department of Planning Research and Statistics of FMOH,although these names were not released officially from any source.

If you would like to collaborate in developing an update, please do get in touch at info@africahbn.org.