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Domestic Resource Mobilization


About the Learning Exchange

The challenge of how to successfully mobilize domestic resources for health is shared among low, middle, and high-income countries and presents multiple possibilities for joint learning. There are many ways that this challenge plays out across contexts– some countries are transitioning from external financing, others are experiencing an economic downturn or internal conflict, and some are searching for ways to increase political momentum for health reform. Domestic Resource Mobilization (DRM) for health is a long-term issue that can be considered and incorporated into a governments’ policy agenda at any point in a country’s economic development.

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 2017, the JLN’s DRM collaborative has grown to include over 100 participants from 19 JLN countries. The World Bank and the Global Financing Facility for Women, Children, and Adolescents (GFF) partnered to create technical content, provide strategic guidance and review, facilitate discussions, and share cross-country knowledge and expertise on DRM for health.

Past Collaborative Work

The knowledge products created under the previous phase of the DRM collaborative include structured guidance on how countries may:

  • Use an evidence-based approach as MOH policymakers effectively communicate and interact with budget holding authorities during annual budget negotiations (as also with other key stakeholders, such as political leadership, planning, etc.) and at other important steps in the resource allocation process,
  • Understand the ways in which fiscal space for health can be improved, as they continue their efforts to mobilize domestic resources for health during various periods of economic growth,
  • Utilize their historical budgetary data and strengthen their economic arguments in a relatable manner for budget holding authorities.

The following set of innovative knowledge products can be used by countries seeking to mobilize their domestic resources for health:

Policy Dialogue Workshops

Policy Dialogue Workshops are country-led meetings with various Ministry of Health, Finance, and other budget holders and key stakeholders within the country, to discuss common communication challenges and share mutual targets for making the case for investment in health.

Policy Dialogue Toolkit

Policy Dialogue Toolkit – A compilation of tested adaptable materials that can enable health policymakers to further dialogue on resources needed to achieve health sector goals with finance and other stakeholders. includes an adaptable terms of reference, a sample agenda, group exercises, presentations on key concepts and principles, and a set of questions to facilitate dialogue on the communication challenges faced by Ministries of Health in their relationship with the state or federal Ministry of Finance.

Messaging Guide: Making the Case for Health

Messaging Guide: Making the Case for Health includes a compilation of messages used in making the case for investment in health including applied macroeconomic concepts, data, indicators, and country experience, as well as practitioner-led tips on communicating effectively across health and finance sectors.

Narrative Summaries of Country Budgetary Data

Narrative summaries of country budgetary data for eight countries that have submitted their budgetary data: Bangladesh, Cambodia, Ethiopia, Indonesia, Lao PDR, Malaysia, Nigeria, Vietnam. This output demonstrates how countries can summarize and analyze their historical budgetary data for informed within-country dialogue.

Inventory of DRM Efforts

Inventory of DRM Efforts – A collection of existing DRM inventories and use cases. Includes country experience with implementing earmarking and broader DRM efforts.

​Participating Countries

The following countries participate in the DRM collaborative: Bangladesh, Cambodia, Cameroon, Côte D’Ivoire, Ethiopia, Ghana, India, Indonesia, Kenya, Lao PDR, Malaysia, Mongolia, Nigeria, Senegal, South Korea, Sudan, and Vietnam.

Technical Facilitators

Blank profile photo avatarAjay Tandon
Senior Economist, The World Bank

Profile photo of Somil NagpalSomil Nagpal
Senior Health Specialist, The World Bank

Blank profile photo avatarMaria Eugenia Bonilla-Chacin
Lead Economist, The World Bank

Danielle Bloom
Consultant, The World Bank

Profile photo of Lauren Oliveira HashiguchiLauren Oliveira Hashiguchi
Consultant, The World Bank


Aditi Nigam
Consultant, The World Bank

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