The Financing Alliance for Health stems from recommendations put forward by a distinctive group of global health leaders – including Prime Minister Hailemariam, President Sirleaf, Ray Chambers, Joy Phumaphi, Tim Evans, Paul Farmer, Chelsea Clinton, and Jeff Walker -  in Summer 2015 in Addis Ababa at Financing for Development. 


This CHW investment case report, entitled: “Strengthening Primary Health Care through Community Health Workers: Investment Case and Financing Recommendations” – called on international institutions and governments to make funding more available for community health. The report also recommended creation of a financing support unit to help countries gain access to new and existing funding streams, beginning with community health.

"Ethiopia’s Community Health Extension Workers have been essential in our progress to bring healthcare to the poor and marginalized and fight the top killers of mothers and children across our country. We are delighted to co-lead this effort and fully endorse the findings of this report" 
Prime Minister Hailemariam Dessalegn of Ethiopia

Key recommendations of the report

  • To government leaders in sub-Saharan Africa, the report encourages the development of country-specific investment cases and return on investment analyses and prioritize domestic investments in CHWs. The report urges governments to proactively seek innovative financing arrangements with funders and to build strong teams in your countries to define, structure, and negotiate financing pathways.
  • To bilateral and multilateral donors, the report urges the use of disease-specific funding to be used for integrated CHW plans.
  • To the international financing community the report recommends making low-cost, performance-based debt financing available to countries aiming to scale up CHW programs.