PORTFOLIO UPDATE Geneva, June 2016THIRD INVESTORS GROUP MEETING

2 Progress on key GFF processes Investment Cases Health financing strategies IDA/GFF Trust Fund financing approved Finalized: Ethiopia, Kenya, Tanzania Nearly finalized: Cameroon, DRC, Liberia, Uganda Existing strategies in place: Bangladesh Drafts in process of being finalized: Ethiopia, Kenya, Mozambique, Uganda Cameroon, DRC (CRVS), Kenya, Nigeria (emergency support to northeastern states), Tanzania

3 Bangladesh Investment Case tied to next Health Sector Program (expected December 2016) Health financing work to build on existing strategy

Cameroon Investment Case draft expected in mid-July Health financing strategy expected June 2017

DRC Photo: Martine Perret Investment Case nearly finalized Health financing strategy under development

6 Ethiopia Health Sector Transformation Plan serves as Investment Case Health financing strategy being reviewed by Cabinet

Photo: Melanie Mayhew Kenya Investment Case finalized and implementation beginning Draft health financing strategy under review

8 Liberia Investment Case nearly finalized Health financing strategy being prepared

9 Mozambique Investment Case process just beginning (expected by December 2016) Existing draft health financing strategy being updated

10 Nigeria Emergency support for northeastern states; broader Investment Case process to be determined Health financing assessment underway

11 Senegal Investment Case process just beginning (expected by December 2016) Health financing strategy expected June 2017

12 Tanzania Photo: Arne Hoel One Plan II under implementation Health financing strategy awaiting parliamentary approval

13 Uganda Investment Case nearly finalized (July 2017) Health financing strategy awaiting Cabinet review

14 Examples of private sector innovations Cameroon Kenya Uganda Senegal Development impact bond for kangaroo mother care under preparation Performance-based contracting with private providers at scale 6 county private sector initiative for RMNCAH in financing discussions Model in development for private midwives to access finance, skills training, and leverage underutilized public infrastructure for practice Supply chain innovation using private sector under exploration for Investment Case Private sector assessment completed, discussions underway between MoH, GFF, and USAID on potential entry points Clear description in Investment Case of contracting of qualified private providers for scale-up of voucher and RBF programs Public-private collaboration on loan facility for access to finance for small/medium health providers

Partner support*IDA and GFF Trust Fund BangladeshGavi, JICATBD CameroonFrance, Gavi, Germany, Global Fund, USA (PEPFAR) Approved May 2016 DRCBMGF, Canada, Gavi, Global Fund, Japan, Norway CRVS: approved March 2016 RMNCAH: likely Feb EthiopiaBMGF, Global Fund, Power of Nutrition, UK, USA Likely March 2017 KenyaDenmark, Japan, UK, USAApproved June 2016 LiberiaGavi, Global Fund, USATBD MozambiqueToo early to confirmTBD NigeriaBMGF, GaviEmergency: approved June 2016 Full: TBD SenegalToo early to confirmTBD TanzaniaCanada, USAApproved May 2015 UgandaGavi, Sweden, UK, USALikely July Complementary financing summary * Tentative list: in some countries, discussions are still underway

 Investment Case: working draft released in February, to be revised in July  Health financing: to be released in August  Country platform: to be released in August  Strengthening data systems: to be released in July 16 Guidance to support country processes

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