Welcome to the Workshop Towards shared principles for reporting health impacts of development aid EC, EAGHA, The Lancet

 Increased funding for health over last two decades, external resources account for av. 25 % health funding, in some countries 50%.  Disease focus resulted in stagnation of health system funding until recently  Complex environment inc. funding for health interventions, targets, services and systems; bilateral and multilateral donors; various recipients governments, para- statal institutions, NGOs and private sector.  Increased scrutiny due to failure to reach MDGs, lack of country ownership, variable funding, fragmentation, inefficiency of disbursements, crowding out of national funding, economic pressures etc.

 Paris Declaration and Accra Agenda for Action  Taskforce for Innovative International Financing for Health Systems recommended +$10 bn of which 40 % to be on human and physical capital to increase absorptive capacity and the remainder on recurrent costs.  Evidence linking improved health outcomes to DAH is weak  Greater emphasis on health systems and on budget support when there are demands for better data on results poses challenges of attribution

New approaches must;  Address the needs of several stakeholders- national governments, donor community, taxpayers  Allow attribution of outcomes by different funders  Minimise double counting  Be readily intelligible to non-experts  Maximise transparency, including time lags  Be feasible to implement within constraints  Reflect importance of health systems funding rather than attributing all health benefits to funding of commodities  Use effectiveness rather than efficacy estimates  Use standardised approaches to lives saved

Achieve a first step towards international agreement on good practice in reporting health impacts arising from development aid and health investments Explore readiness of international development partners to embark on this exercise, Explore the capacity and readiness of the European and other academic global health institutions to get involved in this work

Near term:  Circulate a brief workshop report on action points and next steps  Follow up meeting to engage Southern partners at Global Forum meeting in April Mid term:  Concept paper on principles and on methodologies to be tested (mid 2012) ?  Collective scientific article (end 2012)?  A programme offer of support to LIC to test the methodology (mid/end 2012)? Long term:  Inputs to WHO / WHA on good practice principles in global health reporting (2013/2014)?