« Social Health Protection in Developping countries: break the vicious circle between disease and poverty » Knowledge sharing workshop on social protection for vulnerable groups 15 october 2007 Elodie Montetagaud, Ministere des Affaires Etrangeres et Europennes

2 Social Health Protection in Developping countries Outline The Paris conference: Objectives and conclusions Social health protection in the international agenda and France participation to this agenda What ’ s next

3 Social Health Protection in Developping countries The Paris conference:  This conference was announced at the 2006 G8 in Saint Petersbourg "Access to health care in developing countries could be significantly enhanced through a wider range of financing options including health insurance programs. We encourage stepped-up discussion at the international level on practical approaches to the expansion of public, private and community-based health insurance coverage in developing countries, learning from the successes achieved by both developed and developing countries in this regard. We invite the OECD and appropriate organizations to work on this issue.  We welcome France's offer to host a high level meeting on this issue by the end of "

4 Social Health Protection in Developping countries Conference ’ Objectives:  Investing in Health has a positive effect on macroeconomic growth (WHO Report on Macroeconomics and Health, 2000)  We need all the different actors i.e. national international local levels, civil society and International organizations  We need all kind of financial resources, public and private, sous diverses modalit é s : budget, insurance, mutuelles, micro-assurance etc.  complimentarily and continuity between global funds and Health Systems Strengthening: social health protection mechanisms are an important tool for reinforcing health systems

5 Social Health Protection in Developping countries Outline The Paris conference: Objectives and conclusions Social health protection in the international agenda and France ’ participation to this agenda What ’ s next

6 Social Health Protection in Developping countries In June 2007, in Heiligendamn, the G8, welcomed the Franco-German initiative « Providing for Health » This initiative aims at enhancing multilateral and bilateral partnerships in health with national health strategies to improve and strengthen substantially health systems

7 Social Health Protection in Developping countries On September 5, the “ International Health Partnership ” was launched in London by Gordon Brown This initiative aims at effectively applying the principles of the Paris declaration to increase harmonization between donors working in health This harmonization will be efficient and effective only with strong national health plans

8 Social Health Protection in Developping countries Finally, Norway, proposed an umbrella to these two initiatives called: « Global Campaign for Health MDGs » This initiative aims at accelerating progress regarding Health MDGs The means to get there is the providing for health m the IHP plus accelerating work on child and maternal health

% Donors Government Households Ministry of Health 59,2 % Health Sector 27,2 % Financing Health According to the MoH (Ghana)

10 Internally genera- ted funds (13.6 %) Donors Government Households Ministry of Health Ministry of Finance (59.2%) Health Fund (14.9 %) & MoH Programme Support (12.3 %) Commercial Loans (15 %) HIPC (0.2%) Budget Support 44 % Health Sector Project Support Other private spending Global prog’s FoundationsPharma industry NGOs Reality on the ground (Ghana)

11 Social Health Protection in Developping countries Outline The Paris conference: Objectives and conclusions Social health protection in the international agenda and France ’ participation to this agenda What ’ s next

12 Social Health Protection in Developping countries Efforts to be made in two directions: Governance: Increasing harmonization between donors Providing appropriate incentives for donors and partners countries to implement the Paris agenda Financing Efficiently use the existing funds Studying lessons learned from past successes and failures That is why we are here to listen, to take notes and to report