1. DFID and the Health MDGs
James Droop
16 March 2010

2. 1.C: Halve, between 1990 and 2015, the proportion of people who suffer from hunger (Prevalence of underweight children under-five years of age)
4: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate
5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio. B: Achieve, by 2015, universal access to reproductive health
6.A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS. B: Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it. C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases

3. DFID health spend by types of aid 2008/09 (provisional data)
25 x increase
02/ /09
(2% to 17%
bilateral aid)
Source: DFID, Health Portfolio Review 2009

16. ODA Commitments for Health (1995-2008)
ODA Commitments for Nutrition,
RH:
Population policy and administrative management – Population development policies; census work; vital registration; migration data; demographic research/analysis; reproductive health research; unspecified population activities.
Reproductive health care – promotion of reproductive health; prenatal and postnatal care including delivery; prevention and treatment of infertility; prevention and management of consequences of abortion; safe motherhood activities
Family Planning – Family planning services including counseling; information, education, and communication (IEC) activities; delivery of contraceptives; capacity building and training.
Personnel development for population and reproductive health – Education and training of health staff for population and reproductive health care services.
Source: OECD/DAC
Note: RH includes population policy and administrative management, reproductive health care, family planning, personnel development for population and reproductive health 16

17. Maternal Mortality v. Fertility

20. Health Financing: Needs and Resources
If commitments met and GDP growth continues – no gap (when aggregated across countries)
If stay at current levels of DAH – gap $28bn – $37bn by 2015

21. 2007 DFID Health Strategy
Increasing the amount and improving the use of resources for health
Expanding access to basic services through stronger systems
Improving effectiveness of multilateral system
Demonstrating results and improving evidence
£7bn health spend 2008/15 (£1009m 08/09)

22. White Paper 4

23. AIDS Strategy
Between over £1.5 billion to support the global AIDS response - second largest donor after the US.
£1 bn for the Global Fund for £6 bn over 7 years for health
A 50% increase in funding for research and development of AIDS vaccines and microbicides
Stronger health systems to facilitate the scale up of preventative measures, such as prevention of mother to child transmission of HIV, help more effectively address co-morbidity of HIV with TB, malaria and other diseases and they will help deliver ARVs to those who need them.

24. DFID and Global Health £7bn Commitment to health 2008 – 2015
£1bn to GFTAM
Policy engagement
Strong health systems and coordination focus
Board membership - GFATM, GAVI and UNITAID
Primary spend through bilateral programmes
Significant funding to GHIs and multilaterals
EC, WB, GFATM, UNITAID, GAVI and UNFPA

25. Bilateral Spend: sub-sectors (provisional data)
Source: DFID, Health Portfolio Review 2009

26. DFID health spend by types of aid 2008/09 (provisional data)
25 x increase
02/ /09
(2% to 17%
bilateral aid)
Source: DFID, Health Portfolio Review 2009

27. DFID Imputed Multilateral Spend on Health 2008/09 (provisional data)
Note: DFID counts GAVI and UNITAID as bilateral spend
Source: DFID, Health Portfolio Review 2009

28. Health Systems Spend
Health aid by sub sector
Source: OECD DAC data

31. International Engagement More Money for Health, More Health for the Money

32. Source; Don De Savigny & COHRED32

33. My favorite slide. Thanks to Steve Kinzett who is here from Kenya
My favorite slide. Thanks to Steve Kinzett who is here from Kenya. What happens once the drug reaches the country. Wont explain it. I am sure Steve will be happy to do it over a glass of wine at dinner.

34. International Health Partnership (IHP+)
"To work together in more efficient ways to improve health care and health outcomes…
Led by country governments acting with their civil society we will tackle the challenges facing country health systems….
To build on and use the existing systems at country level…
To be held to account in implementing this compact"
Global Compact, September 2007
Compact doesn’t speak of mutual accountability