The Global FinancingFacility in Support ofEvery Woman Every Child
Shifting the focus from inputs toresults can help get high impactquality health care to women andchildren in some of the poorestcommunities around the world, andgive them a better chance ofsurviving and thriving.
THE CHALLENGEIs it too much to expect that a baby in Ethiopia and a babyin the United States should have the same opportunity to beborn safely? Or that a mother in the Democratic Republic ofthe Congo and a mother in Norway or Canada should have thesame opportunity to survive childbirth and care for her child?Today, they do not: the child mortality rate in lowincomecountries is more than 15 times higherthan in high-income countries. And maternalmortality is nearly 30 times higher. As the globalcommunity enters a post-2015 world of SustainableDevelopment Goals (SDGs), a considerable partof the reproductive, maternal, newborn child, andadolescent health (RMNCAH) agenda remainsunfinished. A large funding gap remains US$33.3billion in 2015 alone in high-burden, low- andlower-middle-income countries, equivalent toUS$9.42 per capita per year that can only beaddressed by dramatic increases in financing fromboth domestic and international sources.2012, 6.6 million children under fiveyears old died around the world.The Global Financing Facility in Support of Every Woman Every Child1
RESPONDING TO THECHALLENGEThe GFF can helpprevent up to:3.8 millionmaternal deaths101 millionchild deathsAnnounced in September 2014, the GlobalFinancing Facility in support of Every WomanEvery Child (GFF) aims to address the starkdisparities while fostering new ways of financing fordevelopment in the post-2015 era.Far too many newborns, children, adolescents, and women still die frompreventable conditions every year, and far too few have reliable accessto quality health services. The GFF aspires to prevent up to 3.8 millionmaternal deaths, 101 million child deaths and 21 million stillbirths in 63high-burden countries by 2030, to support the United Nations Secretary-General’s renewed Global Strategy for Women’s and Children’s Healthand the Sustainable Development Goals.21 million stillbirthsin high burdencountries by 2030Achieving and then sustaining such a transformation in health outcomesdemands a change in how reproductive, maternal, newborn, child andadolescent health (RMNCAH) initiatives are financed, implemented andmeasured.The GFF is rallying partners around country priorities, starting in theDemocratic Republic of the Congo, Ethiopia, Kenya, and Tanzania, itsfour front-runner countries; and preparing to go to scale in a muchlarger group of countries from among the 32 countries accounting for 88percent of all child and maternal deaths globally.2
The GFF is bringing to bear smart,scaled and sustainable financingdesigned to achieve and measureresults. This means:➤ Smart: ensuring that evidence-based,high-impact interventions—such as nutrition,immunization and family planning—are prioritizedand delivered in an efficient, results-focusedmanner➤ Scaled: mobilizing the additional resourcesnecessary to fully finance the maternal andchild health agenda from both domestic andinternational, and both public and private sources➤ Sustainable: securing universal access toessential services for every mother and everychild by anticipating the economic transition ofcountries from low- to middle-income statusThe Global Financing Facility in Support of Every Woman Every Child 3
DELIVERING ONTHE PROMISEIt is clear that if we are to bring abouttransformative improvements in maternal,adolescent and child health, we need to tackletough issues and go beyond Official DevelopmentAssistance (ODA) resources.The GFF acts as a pathfinder in a new era offinancing for development by pioneering a modelthat shifts away from a focus solely on ODA toan approach that combines domestic financing,external support, and innovative sources for resourcemobilization and delivery (including the privatesector) in a synergistic way.A GFF Trust Fund has been established at the WorldBank. It builds on the experience and managementcapacity of the Health Results Innovation Trust Fund(HRITF) in providing results-focused financing tosupport countries to achieve RMNCAH results. Itleverages additional financing for RMNCAH bylinking grant funding to World Bank loans. The trustfund mobilizes the expertise of the entire WorldBank Group, including the International FinanceCorporation (IFC), the World Bank Group’s privatesector arm.A total of 63 high-burden, low- and lower-middleincome countries are eligible to receive grantresources from the trust fund. To reach all 63countries, the GFF Trust Fund needs to rapidlyincrease its funding commitments beyond thecurrent US$800 million already committed byNorway and Canada to US$2.6 billion.IT IS TIME TO ACT.IF NOT NOW,THEN WHEN?4
“A BABY IN CAMEROON AND A BABY IN CANADASHOULD HAVE THE SAME OPPORTUNITY TO BE BORNSAFELY. A MOTHER IN NIGERIA AND A MOTHER INNORWAY SHOULD HAVE THE SAME OPPORTUNITY TOSURVIVE CHILDBIRTH AND CARE FOR HER CHILD.”JIM YONG KIM, PRESIDENT,WORLD BANK GROUP5