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Innovative financing instruments for global health 2002-15: a systematic analysis.
Rifat Atun1, Sachin Silva1, Felicia M Knaul2
1Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA.
The Lancet. Global Health
|June 17, 2017
Summary
Innovative financing instruments mobilized $8.9 billion for global health programs between 2002 and 2015. This funding primarily supported vaccination, HIV/AIDS, and malaria initiatives, highlighting their crucial role in supplementing development assistance for health.
Area of Science:
- Global Health
- Health Economics
- International Development
Background:
- Development assistance for health (DAH) has stagnated since 2015.
- Reliance on domestic and innovative financing is increasing for low- and middle-income countries.
- Sustaining health programs requires exploring alternative funding streams.
Purpose of the Study:
- To estimate the financing mobilized by innovative financing instruments (IFIs) from 2002 to 2015.
- To identify the types and scale of IFIs utilized in global health.
- To understand the allocation of IFI funds across different health programs.
Main Methods:
- Systematic review and analysis of ten identified innovative financing instruments.
- Quantification of funds mobilized by IFIs between 2002 and 2015.
- Tracking fund allocation through major channels like GAVI and the Global Fund.
Main Results:
- Ten IFIs mobilized US$8.9 billion between 2002 and 2015, representing 2.3% of total DAH.
- Vaccination programs received the largest share ($2.6 billion), followed by HIV/AIDS and malaria.
- No discernible funding was directed towards non-communicable diseases through these IFIs.
Conclusions:
- Innovative financing instruments are a significant, albeit supplementary, source of global health funding.
- IFIs predominantly support infectious disease and maternal/child health programs.
- Future strategies may need to address the underfunding of non-communicable diseases within innovative financing mechanisms.
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