Global Health and Financing for Development

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Global Health and Financing for Development

• Action for Global Health Conference
• Rome, 09th February, 2009
• Dr. Aida Libombo
• MD, Obstetrician/Gynaecologist, MSc,
• Deputy Minister of Health Mozambique

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Global Health

• Global Health problems currently transcend
  national boundaries and demand international
  cooperation
• Multilateral and Bilateral Agencies, Governmental
  and Non-Governmental Organizations and Nations
  worldwide are committed to participate on Global
  Health issues

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Threats for Global Health

• National and Regional Humanitarian Crises due to
  War, Political Insecurity, Famine, Food and
  Nutritional Insecurity
• Environmental threats draught and floods
• Economic Instability and Absolute Poverty
• Lack of resources water and food
• HIV and AIDS and other emergent diseases (Avian
  Flu, Hemorrhagic fevers, etc)

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Mozambique

• Source Childhood Poverty A Situation and
  Trends, MISAU 2007 Analysis, UNICEF, 2006
  other UNDP Mozambique 2006

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Efforts to face the Global Health Treats in
Mozambique

• Mozambican Government committed on Poverty
  Reduction Comprehensive PRSP
• National Budget 13 for Health sector
• Alignment of Governmental Program with, PRSP and
  MDGs
• Mechanisms of coordination between the Government
  and donors community
• MOU between MOH and Partners
• Implementation of Global Health Initiatives

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Global Health Initiatives in Mozambique

• Global Fund for AIDS, Tuberculosis and Malaria
• PEPFAR
• International Health Parternership
• Global Alliance for Vaccine and Immunization
  GAVI
• Integrated Management of Child Illnesses
• Parternership for Maternal, Neonatal and Child
  Health

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Coordination Mechanisms o MOH with Partners

• A mature SWAp
• A strong and consistent engagement of donors
• A Five Year Plan and an Operating Annual Plan
  (PES)
• A single results framework (PAF or QAD Saúde)
• Code of Conduct and a MoU
• Joint Annual Review mechanism aligned to
  government reviews
• Pooling of funds (Budget support PROSAUDE,
  Provincial Fund, and drugs fund in the process of
  consolidation and integration)

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Consensual Principles

• Strong Leadership at all levels
• Clear policies and strategies
• Develop and strengthen the coordination
  mechanisms between the Government and other
  stakeholders
• Strengthen the Health Systems

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Some encarouging results in Mozambique
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Challenges

• Proceed with the National policies, strategies
• Accelerate implementation of Food and Nutritional
  Security
• Provide that the more vulnerable population
  groups are considered when implementing all
  national strategies
• Improve the mechanisms of coordination with all
  partners within and outside the country.