Pushing the envelope through the Global Financing Facility: Potential impact of mobilising additional support to scale-up life-saving interventions for women, children and adolescents in 50 high-burden countries

Victoria B Chou, Oliver Bubb-Humfryes, Rachel Sanders, Neff Walker, John Stover, Tom Cochrane, Angela Stegmuller, Sophia Magalona, Christian Von Drehle, Damian G. Walker, Maria Eugenia Bonilla-Chacin, Kimberly Rachel Boer

Research output: Contribution to journalArticle

Abstract

Introduction The Global Financing Facility (GFF) was launched to accelerate progress towards the Sustainable Development Goals (SDGs) through scaled and sustainable financing for Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH-N) outcomes. Our objective was to estimate the potential impact of increased resources available to improve RMNCAH-N outcomes, from expanding and scaling up GFF support in 50 high-burden countries. Methods The potential impact of GFF was estimated for the period 2017–2030. First, two scenarios were constructed to reflect conservative and ambitious assumptions around resources that could be mobilised by the GFF model, based on GFF Trust Fund resources of US$2.6 billion. Next, GFF impact was estimated by scaling up coverage of prioritised RMNCAH-N interventions under these resource scenarios. Resource availability was projected using an Excel-based model and health impacts and costs were estimated using the Lives Saved Tool (V.5.69 b9). results We estimate that the GFF partnership could collectively mobilise US$50–75 billion of additional funds for expanding delivery of life-saving health and nutrition interventions to reach coverage of at least 70% for most interventions by 2030. This could avert 34.7 million deaths—including preventable deaths of mothers, newborns, children and stillbirths—compared with flatlined coverage, or 12.4 million deaths compared with continuation of historic trends. Under-five and neonatal mortality rates are estimated to decrease by 35% and 34%, respectively, and stillbirths by 33%. Conclusion The GFF partnership through country-contextualised prioritisation and innovative financing could go a long way in increasing spending on RMNCAH-N and closing the existing resource gap. Although not all countries will reach the SDGs by relying on gains from the GFF platform alone, the GFF provides countries with an opportunity to significantly improve RMNCAH-N outcomes through achievable, well-directed changes in resource allocation.

Original languageEnglish (US)
Article numbere001126
JournalBMJ Global Health
Volume3
Issue number5
DOIs
StatePublished - Nov 1 2018

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Reproductive Health
Conservation of Natural Resources
Stillbirth
Resource Allocation
Infant Mortality
Financial Management
Health Care Costs
Mothers
Infant Health
Child Health
Maternal Health
Adolescent Health
Newborn Infant
Mortality
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

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Pushing the envelope through the Global Financing Facility : Potential impact of mobilising additional support to scale-up life-saving interventions for women, children and adolescents in 50 high-burden countries. / Chou, Victoria B; Bubb-Humfryes, Oliver; Sanders, Rachel; Walker, Neff; Stover, John; Cochrane, Tom; Stegmuller, Angela; Magalona, Sophia; Drehle, Christian Von; Walker, Damian G.; Bonilla-Chacin, Maria Eugenia; Boer, Kimberly Rachel.

In: BMJ Global Health, Vol. 3, No. 5, e001126, 01.11.2018.

Research output: Contribution to journalArticle

Chou, Victoria B ; Bubb-Humfryes, Oliver ; Sanders, Rachel ; Walker, Neff ; Stover, John ; Cochrane, Tom ; Stegmuller, Angela ; Magalona, Sophia ; Drehle, Christian Von ; Walker, Damian G. ; Bonilla-Chacin, Maria Eugenia ; Boer, Kimberly Rachel. / Pushing the envelope through the Global Financing Facility : Potential impact of mobilising additional support to scale-up life-saving interventions for women, children and adolescents in 50 high-burden countries. In: BMJ Global Health. 2018 ; Vol. 3, No. 5.
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abstract = "Introduction The Global Financing Facility (GFF) was launched to accelerate progress towards the Sustainable Development Goals (SDGs) through scaled and sustainable financing for Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH-N) outcomes. Our objective was to estimate the potential impact of increased resources available to improve RMNCAH-N outcomes, from expanding and scaling up GFF support in 50 high-burden countries. Methods The potential impact of GFF was estimated for the period 2017–2030. First, two scenarios were constructed to reflect conservative and ambitious assumptions around resources that could be mobilised by the GFF model, based on GFF Trust Fund resources of US$2.6 billion. Next, GFF impact was estimated by scaling up coverage of prioritised RMNCAH-N interventions under these resource scenarios. Resource availability was projected using an Excel-based model and health impacts and costs were estimated using the Lives Saved Tool (V.5.69 b9). results We estimate that the GFF partnership could collectively mobilise US$50–75 billion of additional funds for expanding delivery of life-saving health and nutrition interventions to reach coverage of at least 70{\%} for most interventions by 2030. This could avert 34.7 million deaths—including preventable deaths of mothers, newborns, children and stillbirths—compared with flatlined coverage, or 12.4 million deaths compared with continuation of historic trends. Under-five and neonatal mortality rates are estimated to decrease by 35{\%} and 34{\%}, respectively, and stillbirths by 33{\%}. Conclusion The GFF partnership through country-contextualised prioritisation and innovative financing could go a long way in increasing spending on RMNCAH-N and closing the existing resource gap. Although not all countries will reach the SDGs by relying on gains from the GFF platform alone, the GFF provides countries with an opportunity to significantly improve RMNCAH-N outcomes through achievable, well-directed changes in resource allocation.",
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AU - Bubb-Humfryes, Oliver

AU - Sanders, Rachel

AU - Walker, Neff

AU - Stover, John

AU - Cochrane, Tom

AU - Stegmuller, Angela

AU - Magalona, Sophia

AU - Drehle, Christian Von

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