Global Health Risk Framework Pandemic Financing: Workshop Summary (2016) / Chapter Skim
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8 Donor Considerations and Crowding-In
8 Donor Considerations and Crowding-In
Pages 49-58
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From page 49... ...
(Hohlfelder) • Strengthening public financial management systems can sup port preparedness and response, as well as primary health care.
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From page 50... ...
A clinical phase III trial began in March 2015 with support from multiple partners, using a ring-fence design rather than a randomized trial, which MSF and the Guinean government had opposed. Six days after vaccination, there were no cases of Ebola among the 3,500 people who had been vaccinated, while there had been 16 cases in those who were not vaccinated.
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From page 51... ...
countries. Godal estimated that linking their contribution to the results through payment for performance improved efficiency by about 20 percent, allowing health workers to deliver more and better care and supporting conditional cash transfers that enable the poorest women to come to the clinic.
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From page 52... ...
Adams described the current push for increasing domestic revenues, most recently articulated in the Addis Tax Initiative, signed in July 2015 at the Third International Conference on Financing for Development. Thirty countries and international organizations launched the initiative and signed a commitment to stop the billions of dollars lost every year on account of a narrow tax base, weak administrative capacity, poor tax compliance, and other problems with tax collection in poor countries.
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From page 53... ...
Ghosh said that a major priority for the foundation is building consensus in the global community about a core set of primary health care system indicators -- that is, what constitutes a basic system that can both achieve routine functions and scale up in the event of an emergency. Similarly, the Gates Foundation is investing in the Child Health and Mortality Prevention System, a network of data and surveillance centers around the world that are intended to support both routine service and emergency response.
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From page 54... ...
She described four different tracking systems used to monitor contributions to the Ebola response: the UN Office for the Coordination of Humanitarian Affairs (OCHA) Financial Tracking Service, a World Bank pledge tracker, the UN Special Envoy on Ebola's consultant reports, and ONE's interactive tracker for resource flows.
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From page 55... ...
Over the past few years, the USAID health program has been working with the ministry of finance and the ministry of health in Liberia on how the finance ministry releases funds to the health ministry to support primary health care throughout the country; USAID then provides funding based
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From page 56... ...
Describing poor health systems and the accompanying pandemic risk in terms of macroeconomic vulnerability could help translate those concerns to a different audience. Daniel Hanna of Standard Chartered Bank asked about the balance between creating new sources of money and building agile systems, at both the donor and country levels, that can harness existing sources in the right place at the right time.
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From page 57... ...
USAID now puts all of its expenditure data on a publicly available platform called the Foreign Assistance Dashboard, but many of the agency's partners still prefer to get that information directly from the local USAID office. Other interested parties, such as civil society groups, may not have the benefit of such close relationships.
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From page 58... ...
Adam Bornstein proposed separating the response and the recovery efforts, especially when thinking about how to distribute resources. The response to a pandemic represents a global public good and could be accomplished somewhat easily, he argued.
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