Back 25 September 2014

Global Financing Facility for Maternal Health

As the world approaches the 2015 deadline for the Millennium Development Goals (MDGs), the enormous progress that has been made in improving maternal and child health is becoming evident.  However, despite the progress, it is equally clear that more remains to be done: far too many newborns, children, adolescents and women die of preventable conditions every year, and far too few have reliable access to quality health services. The global interest in Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) is an opportunity to make a final push on the MDGs and ensure a solid foundation for the post-2015 work. 

The Global Financing Facility (GFF) will mobilize and channel additional international and domestic resources required to scale up and sustain efficient and equitable delivery of quality RMNCAH services. Additionally, the GFF will support the transition to long-term sustainable domestic financing for RMNCAH. A special focus area for the GFF will be to support the scale up of civil registration and vital statistics (CRVS) systems to contribute to the universal registration of by 2030.

The GFF will facilitate a clear strategy for fully-scaled and smart financing of RMNCAH services in different countries. This strategy will be articulated in a financing roadmap informed by a rights-based, results-focused, fully costed RMNCAH national plan linked to national strategies for health and other sectors. The roadmap will provide a comprehensive picture of a country’s immediate and longer-term RMNCAH resource needs and will outline strategies to mobilize the requisite domestic (public and private) and international (bilateral and multilateral) funding over time. The aim is to harmonize funding for RMNCAH plans through a common country financing framework which is linked to clear results and backed by common accountability and reporting mechanisms. The financing roadmaps will be linked to longer-term planning that strengthens domestic resource mobilization and diversifies modalities of development assistance in line with a country’s rate of economic growth.

The GFF will also position itself as a major investor in the financial roadmap through mobilization of development assistance. Specifically, it will build on the existing Health Results Innovation Trust Fund (HRITF) at the World Bank that offers excellent leverage of International Development Association (IDA) and International Bank for Reconstruction and Development (IBRD) resources, good value-for-money in terms of achieving RMNCAH results and low administrative costs. In addition, through a dedicated financing window, the GFF will support the strengthening and scaling-up of CRVS plans contributing to the universal registration of every pregnancy, every birth and every death for every woman and every child. Other financing windows are also envisaged for “multi-sectoral”, “multi-lateral” and “market-shaping” investments

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