Institution Profile

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USAID Health Finance and Governance Project

8 Users
1 Dialogues

About

USAID’s Global Health Bureau launched the Health Finance and Governance (HFG) Project to support countries in their quest for stronger health systems that deliver the life-saving services their citizens need, when and where they can access them, and at affordable prices. 

HFG is designed to fundamentally strengthen health systems in ways that benefit all health services, including for tuberculosis, HIV/AIDS, malaria, maternal and child health, and reproductive health. HFG works with its country partners to target priority services and populations, mobilize resources for health, and promote mutual accountability by accelerating the adoption of state-of-the-art policies and interventions, facilitating learning among countries and other partners, gathering and generating evidence, and packaging and disseminating knowledge in ways that are accessible.

Together, HFG’s project partners have on-the-ground presence in 96 countries, which has enabled activities to be launched quickly worldwide. HFG is at work in 14 countries—Angola, Bangladesh, Benin, Bolivia, Burundi, Cote d’Ivoire, Ethiopia, Haiti, India, Namibia, Nigeria, Swaziland, Tanzania, and Ukraine. In Haiti, for example, HFG works closely with the Ministry of Health to strengthen its capacity in human resources for health management and in health financing. HFG is building these capacities in four units of the Ministry of Health (Decentralization, Planning and Evaluation, Human Resources, and Budget and Administration), which will help to enable the Ministry to carry out its role as steward of the health sector.

Our Work

HFG is designed to fundamentally strengthen health systems in ways that benefit all health services, including for tuberculosis, HIV/AIDS, malaria, maternal and child health, and reproductive health. HFG works with its country partners to target priority services and populations, mobilize resources for health, and promote mutual accountability by accelerating the adoption of state-of-the-art policies and interventions, facilitating learning among countries and other partners, gathering and generating evidence, and packaging and disseminating knowledge in ways that are accessible.

Many health strategies rely on targeting. There is no way to realize the goals of global initiatives, such as Child Survival Call to Action and PEPFAR’s AIDS-free generation, without aligning the financial incentives faced by providers with the targeted services and populations. Strategic purchasing can target spending within budget constraints, and drives service delivery changes and quality improvements that result in more value for money. Strategic purchasing includes resource allocation, provider payment mechanisms, and financial management and accounting. In particular, HFG partners with countries and health sector stakeholders to:

  • Improve financing by mobilizing domestic resources, reducing financial barriers, expanding health insurance, and implementing provider payment systems;
  • Strengthen governance for better health system management and greater accountability and transparency;
  • Improve country-owned health management and operations systems to improve the delivery and effectiveness of health care, for example, through mobile money and public financial management; and
  • Advance techniques to measure progress in health systems performance, especially around universal health coverage.

Together, HFG’s project partners have on-the-ground presence in 96 countries, which has enabled activities to be launched quickly worldwide. HFG is at work in 14 countries—Angola, Bangladesh, Benin, Bolivia, Burundi, Cote d’Ivoire, Ethiopia, Haiti, India, Namibia, Nigeria, Swaziland, Tanzania, and Ukraine. In Haiti, for example, HFG works closely with the Ministry of Health to strengthen its capacity in human resources for health management and in health financing. HFG is building these capacities in four units of the Ministry of Health (Decentralization, Planning and Evaluation, Human Resources, and Budget and Administration), which will help to enable the Ministry to carry out its role as steward of the health sector.

HFG is helping Namibia evaluate the sustainability of its Development Fund, which is using job creation and training programs to expand health insurance coverage. In Nigeria, HFG is supporting the National Agency for the Control of AIDS (NACA) to build its capacity to generate resources, including helping to develop an HIV/AIDS resource mobilization strategy. And in Ethiopia, HFG is supporting implementation of health insurance schemes through strengthening the newly established Health Insurance Agency by seconding health insurance experts as well as facilitating learning from other countries, such as Ghana.

pharmangale@gmail.com

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Catherine Connor

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ibiam Azu

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Tsirinavalona RAZAFIMAHATRATRA

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Laura McGough

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Emmanuel Delamy

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Seifu Ambissa

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Kirti Sundar Sahu

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Recent Dialogues

Information Technology

How IT can help in reduction of maternal mortality/morbidity of urban poor in India?
Though we can say the optimal use of technology will either directly or indirectly help in improvement of health in the society, still it is underutilised. What are the best evidence of using health technologies in international arena which can be either replicated or implemented with modification for the benefit for the urban poor, the most vulnerable segment in India?