– innovative financing and new partners in health financing –

– INNOVATIVE FINANCING AND NEW PARTNERS IN HEALTH FINANCING –

The “Millennium Goals”: a hope for Humanity

2000 UN Millennium Summit : The General Assembly of the United Nations adopted the

Millennium Declaration.

8 Goals linked to 18 quantified targets

The “Millennium Goals”: a hope for Humanity

Eradicate extreme poverty and hunger

Achieve universal primary education

Promote gender equality and empowered women

The “Millennium Goals”: a hope for Humanity

Reduce child mortality

Improve maternal health

Combat HIV/AIDS, malaria and other diseases

The “Millennium Goals”: a hope for Humanity

Ensure environmental sustainability

Develop a global partnership for development

The “Millennium Goals”: a hope for Humanity

1. Eradicate extreme poverty and hunger

Target

• Halve, between 1990 and 2015, the proportion of people whose income is less than one dollar per day

Indicators

• Proportion of population below $1 per day, poverty gap ratio, share of poorest quintile in national consumption

Progress so far, goal by goal…

Extreme poverty in the world fell from a third to 19% of the world global population.

Progress at mid point

The “Millennium Goals”: a hope for Humanity

4. Reduce child mortality

Target

• Reduce by 2/3 the mortality rate among children under 5 years old

Indicators

• Under-five mortality rate

The under-five mortality rate per 1000 lives births decreased from 106 to 83.

Progress so far, goal by goal…

Progress at mid point

The “Millennium Goals”: a hope for Humanity

5. Improve maternal health

Target

• Reduce by ¾ , between 1990 and 2015, the maternal mortality ratio

Indicators

• Maternal mortality ratio

• Proportion of births attended by skilled health personnel

The odds that a woman will die from treatable and preventable complications of pregnancy and childbirth in SubSaharian Africa are 1 in 16 over the course of her lifetime, compared to 1 in 3,800 in the developed world.

Progress so far, goal by goal…

Progress at mid point

The “Millennium Goals”: a hope for Humanity

6. Combat HIV/AIDS, malaria and other diseases

Target

• To halt by 2015, and begin to reverse , the spread of HIV/AIDS

Indicators

• HIV prevalence among 15-24 years old pregnant women, contraceptive prevalence rate, number of children orphaned by HIV

The number of people dying from AIDS worldwide increased to 2,9 million in 2006, and prevention measures are failing to keep pace with the growth of the epidemic.

In 2005, more than 15 million children had lost one or both parents to AIDS.

Progress so far, goal by goal…

Progress at mid point

The “Millennium Goals”: a hope for Humanity

Target

• Further develop an open trading and financial system that is rule-based, predictable and non-discriminatory. Includes a commitment to good governance, development and poverty reduction

Indicators

• Official Development Assistance (ODA)

8. Develop a global partnership for development

In 2005, aid rose to a record $106.8 billion but in real terms, official aid dropped by 5.1%.

Not every poor country is eligible yet for debt relief.

The young people represents half of the 195 million jobless people in the world (2006)

Progress so far, goal by goal…

Progress at mid point

The “Millennium Goals”: a hope for Humanity

Since 2000, the MDGs have enjoyed unusually widespread support and acceptance from both developing and developed countries and from international agencies.

Advantages of the MDGs :

Results orientation Increased emphasis on quantitative analysis Consensus regarding a core agenda Potential role in strengthening donor coordination

New way to invent

Innovating finance (IFFIM etc.)

Organisation of Healthcare Systems

Unsatisfying results of the MDGs

The innovative funding

2000 2004 2008 2011 2015

US$

18-22 March 2002 : Monterrey Consensus on financing for development

Over 50 Heads of State participated in this conference.

They were joined by the Heads of the UN, the IMF, the World Bank and the WTO, prominent businesses, civil society leaders and other stakeholders.

The innovative funding

UNITAID : a lab for the innovative financing and the efficient aid for a

common future

UNITAID

UNITAID : a lab for the innovative financing

28 February - 1 March 2006 : International conference on “Solidarity and Globalization : innovative financing for development and against pandemics” in Paris

1 July 2006 : Implementation of the airline-ticket solidarity tax

19 September 2006 : Official launching of UNITAID in New York with the representatives of the 5 founding countries : Brazil, Chili, United-Kingdom, Norway and France

UNITAID : a lab for the innovative financing

$400 million collected in less than 2 years mainly through an air travel tax

No economic distorsion for the air industry

Raising consciousness of international citizenship

BUT only 10 partner countries with most of the others reluctant to participate

UNITAID : a lab for the innovative financing

Up to present, in cooperation with the Clinton Foundation, the Project of UNITAID on Antiretrovirals against HIV/AIDS for children has reduced the price of ARVs on average from 45% to 50%.

is funding the supply of diagnostics and treatment for more than 102,000 children, including more than 62,000 new treatments, in 38 developing countries.

UNITAID : a lab for the innovative financing

UNITAID, in partnership with UNICEF and WHO, delivered more than 1.4 million malaria treatments in Burundi and Liberia.

UNITAID, in conjunction with the Stop TB Partnership’s Global Drug Facility, is funding pediatric therapies against tuberculosis for approximately 180,000 children in 30 countries to be supplied from September 2007 at a cost of US$ 5.6 million. UNITAID plans to continue to finance this program until 2010 with the aim of providing treatment to the 900,000 children who need it.

The innovative funding

Quantitative and qualitative criteria for innovative financing

Significant increase of funds to achieve the MDGs

Additionality with current aid flows to prevent any decrease in traditional aid

Stability and sustainability to enable efficient planning

Political feasability to minimize negotiation time

Rapid disbursement of funds to respect the 2015 deadline

Transparency and traceability to build confidence among donors

The innovative funding

In order to reach the MGDs by 2015, an extra $50 billion are needed yearly.

At the present time, it is of the utmost importance to develop innovative financing mechanisms.

A new way of financing to reach the MDGs

The innovative funding

Innovative finance and innovative investment

Micro Insurance for coverage of Health protocols

Strengthening the public aid system

Increasing the capacity building and training of Health personnel

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