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15th June, 2015

What will the Global Financing Facility actually do?

Global Financing Facility

The Global Financing Facility for Women and Children, released their business plan on the 17 May 2015. Read on to find out all you need to know about how this new fund for reproductive, maternal, newborn child and adolescent health will actually operate in practice.

Who is eligible?

The 63 Countdown countries that are also low-income or lower-middle income, as long as they follow the GFF process and governance requirements. See the full list on page A25.

How much grant funding will be provided?

Depending on need, population, and income, each country could receive between $10-60 million per grant cycle. At the moment, only 31% of the grant funding needed to reach all 63 countries has been committed.

How will GFF work in-country?

Investment case: this is an evidence-based, prioritised and jointly-owned plan for RMNCAH over three to five years, which countries must develop in order to be eligible for GFF funds. An existing strategy can be used as an investment case where appropriate.

Complementary financing: the GFF hopes to leverage funding for the investment case from other sources beyond the GFF trust fund, including: additional IDA/IBRD grants and loans from the World Bank group, other donor funding, and domestic financing. These complementary funds can be channelled in whatever way is appropriate in-country.

Health financing strategy: in addition to a 3-5 year RMNACH plan (the investment case), the GFF process also requires countries to develop a health financing strategy to articulate a long-term vision for the sustainability of financing for health until 2030. This strategy should cover how to improve revenue mobilisation, risk pooling, purchasing, including any regulatory reforms.

Country platform: the country platform will manage the GFF process, including preparing and reviewing the investment case and health financing strategy, determining the approach to technical assistance and capacity building, and reviewing data about performance in the course of implementation. The country platform will be inclusive, comprising of government, civil society, private sector, affected populations, technical agencies and donors.

Disbursement: GGF trust funds will be disbursed through standard World Bank procedures, managed by World Bank country teams.

How will GFF work at the global level?

There will be two global governance structures:

GFF Investors Group: the function of this group will be to build high-level support for the GFF to ensure complementary financing; monitor the performance of the GFF and ensure accountability; and support learning and innovation. It will include: 4-6 members from participating countries; 4-6 members from bilateral donors; UNFPA; UNICEF; WHO; World Bank; Gavi; Global Fund; PMNCH Board; one NGO from a developed country; one NGO from a developing country; two private sector members (including private foundations).

GFF Trust Fund Committee (a subset of the investors group): the function of the committee will be to set the strategic funding approach and priorities for the GFF; approve trust fund allocations; and agree an annual workplan and budget for the secretariat. The committee will comprise of the donors to the Trust Fund and the Chair of the Investors Group.

The GFF will also benefit from a small secretariat hosted at the World Bank.

And in the immediate future? Four front-runner countries have already been selected (DR Congo, Ethiopia, Kenya, Tanzania) and five to ten countries will be selected as a next step.

GFF and domestic resource mobilisation

The GFF aims to increase countries’ domestic health financing sustainably through:

  • Granting additional funds to countries that use more of their loans for RMNCAH investments; and using trust fund resources to make the interest rates on these loans cheaper than they otherwise would be
  • Supporting countries to develop long-term strategies for domestic resource mobilisation for health
  • Supporting civil society to advocate for the accountable and equitable use of public resources
  • Providing technical assistance and capacity building on public financial management
  • Including indicators on progress in resource mobilisation in the results framework

GFF and civil society participation:

Civil society has an important role to play as a recognised member of the country platform and the global GFF Investor Group. Its roles are recognised as: advocacy and social mobilisation; accountability to strengthen national response; and service delivery, particularly in vulnerable situations.

Civil society’s productive participation will be further strengthened by the minimum standards of transparency around key GFF documents. The following documents must be made public: minutes of GFF meetings; agreements between financiers; disbursement data from each financier; progress reports on the achievements of targets in the results framework; and evaluation reports.

Civil society has an important role to play as a recognised member of the country platform and the global GFF Investor Group.