1. Development Assistance -Aid Effectiveness, Foreign Direct Investment (FDI) and Health IPHU Workshop: November 23 2007 john mahama nazmoon nahar jillur rahman

2. Outline Introduction Background to Aid Effectiveness and FDI Strategies for PHM Country circles Strategies for Global PHM Conclusion

3. General Overview of DA DAH increased from US$ 2.5 billion in 1990 to over US$ 13 billion in 2005, and has also increased from 4.6% of ODA in 1990 to close to 13% in 2005. Much of this assistance is targeted to specific diseases or interventions. Overall health spending in developing countries has also been increasing. Between 1990 and 2002, total health spending in developing countries increased from 4.1% to 5.6% of developing country GDP.

4. Key Questions Is aid aligned with government priorities and are holistic health systems approaches sufficiently funded? What is the predictability of aid? Is aid properly harmonized? What are the impacts of the move to general budget support?

5. Key Questions about FDI How are contracts awarded? How are feasibility studies awarded and what is the link with award of contracts? Are recommendations of Environmental Impact Assessment & Feasibility studies adequately addressed? Compliance with community assistance and issues around corporate social responsibility.

6. Strategies for Country Circles Conduct studies and reviews of development aid and FDI practices at the country level. –Use both national and international contacts to gather hard evidence for advocacy. Develop communication and advocacy tools for mass mobilization and engagement with policy makers.

7. National Strategies Mass mobilization through sensitization campaigns that target: –Communities using the networks and groups identified in pt (2). –The general public through a media campaign. Lobbying and Policy advocacy

8. Strategies for Global PHM Provide regional and international support for resource mobilization Assist in the coordination of similar processes between countries in order to compare practices and to raise a global campaign if necessary. Global PHM can engage the donors and foreign investors at a global level.

9. Strategies, Global PHM Co-ordinate inter-country monitoring activities at country level Can assist in providing technical assistance to national PHMs (eg, resources persons, information, evidences, communication, equipment etc). Initiate global dialogue to raise more support for global level campaign

10. THANKS