1. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 1 |1 | by David B Evans, Director Department of Health Systems Financing drawing on material from Andrew Steer, Focal Point for the Taskforce, DFID and input from Bob Fryatt, WHO, IHP+ High-Level Taskforce on Innovative International Financing for Health Systems

2. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 2 |2 | Background  Taskforce launched at UN High-Level Event in New York on 25 September 2008  Recognition internationally that, despite substantial scale up in resources, they were still insufficient to reach the health MDGs  The Taskforce established to: 'Explore new sources of finance to help developing countries achieve the health MDGs'  Identify and promote innovative financing mechanisms for health results in poor countries  Encourage support from potential donors and other opinion formers

3. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 3 |3 | Taskforce Members Prime Minister Gordon Brown (United Kingdom) (co-chair) Robert Zoellick (President of the World Bank) (co-chair) President Ellen Johnson-Sirleaf (Liberia) Prime Minister Jens Stoltenberg (Norway) Tedros Adhanom Ghebreyesus (Health Minister, Ethiopia) Bernard Kouchner (Foreign Minister, France) Giulio Tremonti (Finance Minister, Italy) Heidemarie Wieczorek-Zeul (Development Minister, Germany) Stephen Smith (Foreign Affaires Minister, Australia) Margaret Chan (Director-General of the World Health Organization) Graça Machel (President and Founder, Foundation for Community Development, Mozambique)

4. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 4 |4 | Taskforce Meetings and Timeline 1 st Taskforce meeting: at the Financing for Development Conference in Doha, December 2008 2 nd Taskforce meeting to be hosted by UK Prime Minister on March 12 - ahead of G20 Finance Minister’s meeting Taskforce will report to G8 Summit in July Final Taskforce report: United Nations General Assembly in September

5. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 5 |5 | Conclusions: Taskforce meeting 1 (Doha)  Strengthen health systems, including the health workforce  Essential to find innovative financing mechanisms  Taskforce recommendations to be consistent with Paris Principles and Accra Agenda for Action

6. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 6 |6 | Working Group I – Health Systems Financing Gaps  Clarify the constraints to scaling up support for health systems  Define the financing gaps and setting out the types of funding that are required

7. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 7 |7 | Working Group II - Innovative Financing  Identify the innovative financing instruments that could respond to the needs identified by Working Group 1  Recommend current financing instruments that are ready for expansion and new or complementary approaches  Consider ways to improve efficiency of aid collection, distribution and use and complementarity with domestic financing institutions

8. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 8 |8 | Working Group II – What is Innovative Financing?  Need to distinguish innovative ways of raising new funds, the prime purpose of the TF, from innovative ways of holding them or using them  Front loading e.g. International Financing Facility for Immunization IFFIm – way of changing time profile of payments (and ensuring more predictability)  Advanced Market Commitments: a way of using funds to ensure R&D  Results-based payment – goal is to improve efficiency  Airline Tax: innovative way of raising additional funds for health

9. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 9 |9 | Mobilising Political Support For Recommendations  Taskforce recommendations – focus on a few mechanisms, existing and new if appropriate  A group of “Champions” to promote the innovative financing mechanisms recommended by the Taskforce  Involve a range of stakeholders - governments, international agencies, foundations and other philanthropic entities, the private sector, NGOs and civil society representatives, including faith-based organisations

10. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 10 | Synergies (e.g. IHP+, P4H etc)  Task force complements other activities and initiatives focusing on domestic financing and social health protection  Flexible, predictable, long term resources from both domestic and international sources  Seek to contribute to better coordination of domestic, donor, and additional international funds for health  Contribute to improved accountability for health financing at all levels  Needs and circumstances of individual countries are met

11. Action for Global Health, Sala Capranichetta, Piazza Montecitorio, 125, Rome, 9 th February 2009 11 | Thank you