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3 Setting the Stage for Sustainable Investments in Health
Pages 39-48

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From page 39...
... How market shaping and market-based interventions can play a role in having an effect, value for money, and sustainability MULTISECTORAL ENGAGEMENT AND SUSTAINABLE SOLUTIONS TO SUPPORT TRANSITIONS Peter Sands of the Global Fund to fight AIDS, Tuberculosis and Malaria (Global Fund) described his organization's challenges when transitioning countries out of Global Fund support as well as several areas where he sees potential for partnerships to support countries and sustainability in the process.
From page 40...
... There can be registration or technical problems or legal barriers to accessing international pooled purchasing mechanism systems. When addressing the procurements challenges, Sands noted countries are given little technical assistance.
From page 41...
... Given these challenges in the journey to successfully transitioning countries out of Global Fund support, Sands suggested three areas for potential partnerships to support countries in the process: (1) technical assistance for building health systems capacity, including procurement; (2)
From page 42...
... Beyond meeting the human demands of their populations, health care infrastructure also supports economic growth through foreign direct investment, he said. Both Gunn and Halliday recounted examples where investment decisions of multinational companies were determined based on the availability and quality of the health care infrastructure for their employees or potential customers.
From page 43...
... She 1  USAID defines market shaping, in the context of serving the public good, as optimizing the market to maximize public health impact performed through examining the interaction of public, private, and nonprofit actors in the market and how they interact and make choices at the level of the whole market. Market shaping ultimately addresses deep-rooted issues of supply and demand, and a successful market-shaping intervention requires a "thorough inventory of the benefits, trade-offs, and unintended consequences from multiple perspectives in the market" (USAID, 2014)
From page 44...
... She added that beyond ensuring products are available and affordable, market shaping needs to focus on planning for programmatic and services delivery. Following Lin's introduction to market shaping, Glassman described some of the procurement challenges countries are facing in the context of transitions.
From page 45...
... In Mozambique, PEPFAR accounts for about 25 percent of total health expenditures in the public sector (Health Policy Project, 2016)
From page 46...
... The interventions are based on a set of targets that identify the most feasible and effective interventions and those most likely to produce the highest returns on investments. The WHO document also lists options for interventions against each of the four key NCD risk factors, namely tobacco, harmful use of alcohol, an unhealthy diet, and physical inactivity, and also for the four major disease areas -- cardiovascular diseases, diabetes, cancer, and chronic respiratory diseases (WHO, 2017)
From page 47...
... Glassman said that the World Bank or regional development banks would provide support in this area. Takizawa commented to Glassman that Japan is struggling to develop a policy for countries implementing private health insurance.
From page 48...
... 48 GLOBAL HEALTH TRANSITIONS AND SUSTAINABLE SOLUTIONS Following the remark made by Alleyne that the focus of the global health community on NCDs should cover not only the deaths from NCDs but also the people living with NCDs, Jennifer Healy, with the U.S. Department of Health and Human Services, asked Ralston how the lives of people living with NCDs could be extended.


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