1. Regional Financing for Malaria Task Force (RFMTF) 12 May 2014 Hong Kong, China Framing & Coordinating a Regional Response Ramesh Subramaniam, Asian Development Bank 1

2. Outline 1. The Overall Challenge 2. Challenges in Leveraging National & Regional Responses 3. Steps in Framing a Response 4. Steps in Leveraging RCI 2

3. 1. The Overall Financing Challenge Leveraging $280 million in public spending to $1.6 billion per year 3

4. 2. Challenges in Leveraging National and Regional Responses Small fiscal space competing for multiple priorities Constraints in co-opting private sector Traditional RPG constraints Infrastructure dominance in RCI programs 4

5. 3. Steps in Framing a Case a. Making a robust investment case b. Drive it as an: Inclusive growth, productivity and regional competitiveness challenge for UMICs and MMICs Growth and social protection challenge for LMICs and poorer countries 5

6. 3. Steps in Framing a Case (cont..) c. Identify high-impact industries (2 or 3 digit) and demonstrate economic impact 6

7. 4. Leveraging RCI a. Including health as a priority in sub- regional programs: National health as RPG Regional agreement for national scaling up SPS norms Sub-regional trade and tourism links Regional business associations (e.g. MBI) 7

8. 4. Leveraging RCI (cont…) b. Designing and implementing: A regional malaria/CD program (parallel: CDC; Regional sand strom; ABMI) Harmonizing programmatic and results- based interventions at national levels 8

9. 4. Leveraging RCI (cont…) c. Scale up the Trust Fund into a Leveraged Fund: Make a robust case for equity capital from public and private sector Leverage through co-financed projects with ADB Use re-flows for future human capital interventions 9

10. THANK YOU! Regional Financing for Malaria Task Force (RFMTF) 12 May 2014 Hong Kong, China Framing & Coordinating a Regional Response Ramesh Subramaniam (rsubramaniam@adb.org) Deputy Director General, Southeast Asia Department Asian Development Bank 10