Country engagement on system design and financing

 

The Financing Alliance's main in-country “services” would include system design support (overall community health plan design, developing and costing an integrated community health plan, model refinement, and targeted technical support) and financing support (resource mapping, return-on-investment analyses, financing strategy, developing alternative financing and fiscal scenarios, and advising on options).

These services roughly follow steps 2-6 below. 

Intellectual capacity/knowledge management

 

In addition to its work with countries, the Financing Alliance will have a knowledge management function, which will support the in-country work - e.g. codifying how countries have financed community health in the past, documenting funding flows, and outlining best practices on central system design principles. Further, the Financing Alliance – in partnership with the Ethiopian International Institute for Primary Care – will include a robust training and south-south capacity building function, working with MOHs and MOFs continent wide to develop knowledge around system design and financing.

  • Financing Curriculum: Overview of 6 key steps of financing a community health system, from aligning political will to policy, costing, creating a 'case', engaging funders, building a gap analysis, and identifying new sources
  • ROI Curriculum: Provides an outline of how to develop an economic ROI analysis for a community health program, focusing on productivity improvements, insurance against potential epidemic, and employment benefits
  • Overview of corporate-sponsored and revenue generating models: Analysis by a Harvard Business school team examining the potential contributions of corporate-sponsored CHW programs and revenue-generating models (like Living Goods and Novartis Arogya Parivar) to supporting community health systems 

Developing innovative financing products/modalities 

 

While resource mapping and better aligning existing sources of development assistance and national financing will help close part of the financing gap for many countries, the Financing Alliance will also ‘push the envelope’ around innovative sources of financing to support community health programs. By engaging with the investment banking, social investment, corporate, and private equity communities and then by working to support country-specific transactions, the Financing Alliance will help ‘crowd in’ new sources of capital and help countries take advantage of such resources. 

The Financing Alliance will also actively reach out to the existing donor community, encouraging higher-impact investment into community health. 

1 Donor Supported guarantee; may offset amount government owes to issuer/guarantor for interest or principal Source: Investing in Social Finance, Development Impact Bonds. CGD and Social Finance 2013. Available: http://www.cgdev.org/sites/default/files/investing-in-social-outcomes-development-impact-bonds.pdf

1 Donor Supported guarantee; may offset amount government owes to issuer/guarantor for interest or principal

Source: Investing in Social Finance, Development Impact Bonds. CGD and Social Finance 2013. Available: http://www.cgdev.org/sites/default/files/investing-in-social-outcomes-development-impact-bonds.pdf