About the Collaborative
The overarching objective of the Domestic Resource Mobilization collaborative is to deliberate the challenges that countries face when mobilizing domestic resources for health. The collaborative aims to understand country experiences of:
• The expansion of domestic prepaid or pooled financing, including the re-prioritization of health in government budgets, earmarking of new or existing revenue sources and a reduction of the dependence on out-of-pocket sources.
• The use of non-traditional financing sources including social/ development impact bonds, public private partnerships and mobilizing private financing, use of international and national guarantees, etc.
Launched in July 2017, the first Domestic Resource Mobilization collaborative meeting was virtually attended by representatives from seven member countries who participated in a lively discussion on their country’s experiences with domestic resource mobilization.
Areas of Focus
Discussions on potential focus areas for this collaborative are at a formative stage. However, the following focus areas have been proposed by the technical facilitators for participants’ feedback and prioritization:
• Exploring experiences with innovative financing for earmarking consumption instead of income for health: pros and cons of implementation experiences earmarking VAT, airline taxes, mobile phone, sin taxes, etc.
• Collecting contributions from the informal sector under SHI
• Making the case for reprioritizing health: sharing lessons and experiences from countries
• Identifying options for domestic resource mobilization in challenging macroeconomic environments: sharing lessons and experiences from countries that have or are experiencing negative economic shocks
• Reviewing the lessons, experiences and challenges of absorbing additional public financing in high economic growth settings
• Evaluating the pros and cons of using budgetary targets for reprioritizing health
• Making efficiency gains as a source of fiscal space
Plans for convening meeting in October 2017 are underway: Participants from 10 countries will come together to continue discussions on these topics.