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GFF Country Implementation Guidelines

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GFF Country Implementation Guidelines GFF Country Implementation Guidelines 01 Cover Photo: © Dominic Chavez / The Global Financing Facility TABLE OF CONTENTS ABBREVIATIONS . 02 1. PURPOSE OF THE GUIDELINES . 03 2. SCOPE OF GFF IN-COUNTRY ENGAGEMENT. .04 . 3. HEALTH FINANCING. .09 . 4. GFF COUNTRY PLATFORM. .10 . 5. LEVERAGING PRIVATE SECTOR RESOURCES, . 16 CAPACITY AND EXPERTISE 6. DATA FOR DECISION MAKING . 18 7. IMPLEMENTATION RESEARCH AND DELIVERY . 24 . SCIENCE (IRDS) FOR SETTING EVIDENCE-INFORMED PRIORITIES, COURSE CORRECTION AND LEARNING 8. TECHNICAL ASSISTANCE. 26. 9. RESOURCE MAPPING AND TRACKING . 28 10. ADVOCACY . 30. 11. COMMUNICATIONS. .32 . 01 ABBREVIATIONS CSO civil society organization GFF Global Financing Facility IBRD International Bank for Reconstruction and Development (of the World Bank Group) IDA International Development Association (of the World Bank) IRDS implementation research and delivery science MICS Multiple Cluster Indicator Survey SDG Sustainable Development Goal RMNCAH-N reproductive, maternal, newborn, child, and adolescent health and nutrition TA technical assistance 02 © Dominic Chavez / The Global Financing Facility 1. PURPOSE OF THE GUIDELINES The purpose of this document is to provide guidance to to more readily generate a common vision among the national governments and other stakeholders (e .g ., civil national, subnational, and global stakeholders of how society, women and youth, private sector, donors, profes- the GFF process should be implemented . Given that the sional associations) for effective implementation of the GFF engagement is a dynamic and knowledge-driven GFF process in-country . These guidelines complement process, these guidelines will be adapted regularly as the GFF investment case development guidelines and the new lessons from implementation emerge . The guide- guidance note on multistakeholder country platforms by lines will also be accompanied by a GFF sourcebook with focusing specifically on the implementation phase of the country and global resources to support the implemen- investment case . These guidelines have been informed tation of the GFF process . The GFF in-country process is by the implementation and experiences of countries to supported by a GFF Secretariat, which is based in Wash- date . These guidelines were developed to accelerate ington, DC at the World Bank . For clarity, the use of the the learning process between countries by applying term “GFF” refers to the country process and not only to what has worked well already and to enable countries the GFF Secretariat, unless otherwise specified . 03 2. SCOPE OF GFF IN-COUNTRY ENGAGEMENT The vision of the GFF is to contribute to universal health coverage by supporting actions to end preventable maternal, newborn, KEY MESSAGES child, and adolescent deaths and improve the health and quality of life of women, adolescents, and children . This vision is at When a country joins the GFF, it commits the heart of the “Every Woman, Every Child” movement and is to implementing a process that will help it shared by many partners . The mission of the GFF, however, is achieve its universal health coverage goals . truly unique: to build a new model for development financing for This commitment requires appointing an official to lead the process, mobilizing relevant the Sustainable Development Goal (SDG) era, combining multiple stakeholders, preparing and implementing an sources of financing in a synergistic, country-led way that brings investment case (including a results framework), countries further in closing the funding gap for reproductive, demonstrating commitment to improving data maternal, newborn, child, and adolescent health and nutrition systems, increasing domestic resources and (RMNCAH-N) by 2030 . Conducive gender dynamics are essen- aligning other resources, and focusing on equity . tial to the achievement of the GFF mission . The investment case and the health financing A country joins the GFF partnership with the understanding of work program — two documents that need to be closely aligned — define the scope of the a commitment to the following: GFF engagement in new countries supported Assigning a high-level official to lead the GFF process, by the GFF . including mobilizing and chairing a country platform — In most cases the investment case is developed almost always an existing platform — at least at the for a five-year implementation, therefore many national level (and at subnational level as necessary) on a of the health financing reforms are embedded regular basis for meaningful data-driven shared discussion in the investment case; however, some health and direction . Information, reports, and updates from the financing reforms may extend beyond the platform are to be posted online; scope of the investment case . Mobilizing the relevant Ministries into an “all of govern- Financiers can use various modalities to align ment” multisectoral approach as needed . At a minimum, their financing to support the implementation the Ministries of Finance and Health should be mobilized; of the investment case . The members of the GFF in-country partnership Developing and implementing an evidence-based are confirmed in the minutes of the platform investment case to accelerate progress on RMNCAH-N meeting at the beginning of the GFF engage- outcomes, with a particular focus on reaching those most ment in a country and in each subsequent year vulnerable and marginalized, that clearly identifies a set of to document which partners are formally asso- priorities and the financing to implement them; ciated with the GFF process in the country . Engaging effectively with partners, which requires a mutual The investment case is a living document, understanding about consultation and data sharing; or management tool, that should be adjusted as conditions in the country change . At a Developing a common results framework and showing minimum, the scope of the investment case commitment to share data and strengthening health infor- should be assessed at the mid-term review . mation systems for real-time data use and action as part of the investment case; Increasing domestic resources for health outcomes (specifically committing to not reduce domestic financing as additional financing gets mobilized for the investment case) and improving the efficiency of use of four types of resources: (i) domestic financing, (ii) IDA/IBRD resources, (iii) aligned financing from bilateral and multilateral agen- cies as well as civil society organizations (CSOs), and (iv) private sector resources (financial and capacity/expertise); 04 Creating and chairing a health financing working financing gaps . Some countries seize the GFF process as group to ensure that findings from analytical an opportunity to take a renewed look at priorities . Some work get transformed into effective decisions and countries have defined the investment case as the “prior- actions with clearly monitored milestones; and itized implementation plan” for the full national health plan, while others have selected a few key priorities (e .g ., Achieving equity of outcomes in RMNCAH-N, nutrition, family planning, supply chain strengthening, including gender equality, and providing financial human resources for health, health information systems) protection against impoverishment and discrimina- and have developed plans to accelerate progress in tion due to ill health or malnutrition . these areas . In sum, the starting point for implementation The GFF process works with short-, medium-, and long- in the initial 16 GFF-supported countries varies; in some term horizons . The investment case is aligned with the cases further work to refine some aspects of the invest- national plans and priorities, including national planning ment cases is required . cycles and budgeting processes, and is led by the govern- The investment case and the health financing work ment, usually the Ministry of Health . The investment case program1 — two documents that need to be closely should outline a stepwise vision until 2030 and describe aligned — define the scope of the GFF engagement in in more detail the first phase for implementing the key new countries supported by the GFF . These documents priorities identified to achieve RMNCAH-N results while will build on existing work in the country (e .g ., existing addressing key health systems bottlenecks in the next health financing strategies) and, at a minimum, identify five years (short-term implementation) . (See Guidance a set of “priorities of priorities” on which to focus over Note: Investment Cases for guidelines on how to develop the period of the investment case, which is usually five an investment case .) The investment case also includes years . These priorities are identified on the basis of the stepping stones for more long-term health financing available data and achievements defined by available reforms (e .g . improving domestic resource mobilization financing . The intended achievements should drive the or efficiency in health expenditures) to achieve sustain- development of the results framework and ensure that ability of financing and to attain the 2030 targets for indicators and their targets are aligned with the intended RMNCAH-N in the broader context of universal health achievements and impact . Intended results typically coverage and the SDGs . This document discusses what include coverage of RMNCAH-N interventions, as well as needs to happen once the investment case has been the underlying broader health systems strengthening and drafted and approved
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