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Domestic Resource Mobilization

 

About the Collaborative

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, while others are experiencing an economic downturn or internal conflict, and still others are searching for ways to increase political momentum for health reform.

The overarching objective of the Domestic Resource Mobilization (DRM) collaborative is to deliberate the challenges that countries face when mobilizing domestic resources for health as they move toward Universal Health Coverage (UHC). By exploring ways to mobilize domestic resources for health, countries can decrease the health sectors’ reliance on external aid and out-of-pocket funding, which can have large positive impacts on the sustainability, equity and efficiency dimensions of UHC.

Launched in 2017, the Domestic Resource Mobilization (DRM) collaborative is the second collaborative and thematic area — after the Leveraging Resources for Efficiency collaborative — under the JLN Health Financing technical initiative. The DRM collaborative is a community of more than 100 practitioners from 19 countries who share knowledge and provide peer support to improve the domestic mobilization of resources for health care.

In phase I (2017-2020), 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. Upon the completion of active knowledge production in phase I, the DRM collaborative has shifted learning modalities from a collaborative engaged in active knowledge production into a collaborative structured more on implementation of the knowledge products and as a community of practice. Now in phase II, the DRM collaborative (which commenced in 2020) supports member countries with knowledge adaptation, effectively serving as a bridge between the completion stage of knowledge products and the implementation stage of these knowledge products. Members are engaged in a community of practice (CoP) aimed at supporting adaptation and implementation of the knowledge products of the collaborative (click here for more information about the DRM collaborative CoP, sign-in required). As of July 2020, the DRM collaborative has also partnered with the The Global Fund to fight AIDS, TB, and Malaria (GF) to support in-country application of the knowledge emerging from the collaborative.

Partners

Global Financing Facility (GFF)

In April 2018, and in recognition of the challenges that many countries face in the mobilization of domestic resources for health care, including the financing of interventions to support reproductive, maternal, neonatal, child and adolescent health (RMNCAH), the Global Financing Facility for Women, Children, and Adolescents partnered with the DRM Collaborative to integrate Global Financing Facility country participants into the DRM Collaborative’s community of practitioners. The partnership has provided a rich collaboration between a diverse set of low- and middle-income countries across Asia and Africa that are seeking ways to mobilize domestic resources for health across various contexts, including countries that are donor dependent within health and other sectors, experience various stages of economic growth, and/or countries that are classified as facing development challenges such as fragility, conflict, and violence. The DRM collaborative aims to create materials that are adaptive for various low- and middle-income contexts, some of which are available in French.

Past Collaborative Work

The knowledge products created under the DRM collaborative have been co-produced by the country members and the facilitation team to help countries use their own historical budget data and an evidence based approach for health policymakers to communicate and interact with budget authorities and other key stakeholders. This approach uses relatable economic arguments at various stages of the budget cycle, as well as promotes a deeper understanding among health policymakers on communicating to their budget and finance counterparts. It fosters a shared understanding among finance and health policymakers on the ways that fiscal space for health can be improved using various DRM policy options such as reprioritization. It also helps with an increased recognition of the competing demands and opportunity costs for these resources, as countries continue their efforts to mobilize domestic resources for health during various periods of economic growth and economic setbacks.

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.

Dynamic Inventory of DRM Resources and Efforts

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

On Prioritizing Health
On Prioritizing Health – A global review of the health share of public spending across 20 low, middle, and high-income countries, to identify successful cases of reprioritization.

​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, Myanmar, Nigeria, Senegal, South Korea, Sudan, Uganda, and Vietnam.

Technical Facilitators

Blank profile photo avatarAjay Tandon
Senior Economist, The World Bank

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

Blank profile photo avatarPatrick Hoang-Vu Eozenou
Senior Economist, The World Bank

Blank profile photo avatarAli Hamandi
Young Professional, The World Bank

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

Aditi Nigam
Consultant, The World Bank

Danielle Bloom
Consultant, The World Bank

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

 

Blank profile photo avatarJewelwayne Salcedo Cain
Consultant, The World Bank

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