The GFF financing mechanism focus on smart financing, bringing programs to scale by leveraging much larger sums of domestic government resources, International Development Assistance (IDA) and International Bank for Reconstruction and Development (IBRD) financing, aligned external financing, and private sector resources. The GFF employs a variety of tactics and processes to achieve its objectives. Among them are:
- investment cases, which are nationwide, evidence-based plans that prioritize high-impact interventions to achieve results and identify bottlenecks to achievement;
- financing mobilization for investment cases;
- complementary financing of the investment case;
- increased government investment forRMNCAH-N;
- innovative engagement of global and local private sector resources; and (vi)
health financing strategies focused on sustainability.
As of June 2020, the GFF had directly spent roughly USD 602 million in grants linked to approximately USD 4.7 billion in World Bank IDA/IBRD funding and assisted in aligning significantly greater quantities of domestic and foreign financing in support of GFF partner country investment proposals.
The GFF has been instrumental in supporting Ministries of Health (MoH) to mobilize additional funding for RMNCAH-N. For example, Kenya’s RMNCAH+N investment case recognized that sustained and additional domestic financing would be critical to the successful implementation of RMNCAH-N activities in the country. MoH Kenya developed a roadmap for Universal Health
Coverage (UHC) and a health financing strategy geared toward additional domestic resources and aligning support from development partners to achieve UHC in order to ensure sustainable financing for RMNCAH-N and address health financing fragmentation.
During the previous GFF replenishment in Oslo in 2018, USD one billion in pledges were generated and linked to an extra USD 7.5 billion in World Bank IDA/IBRD resources for the health and nutrition of women, children, and adolescents. The Bill & Melinda Gates Foundation, Burkina Faso, Canada, Côte d’Ivoire, the European Commission, Denmark, Germany, Japan, Laerdal Global Health, the Netherlands, Norway, Qatar, and the United Kingdom were among those who contributed to the fund. Norway was the greatest contributor to the fund, accounting for 35.8 percent of the money raised. The $1 billion in contributions was critical in achieving the GFF’s goal of expanding its presence to 50 countries with the greatest needs in order to alter how health and nutrition are funded. Following the replenishment, the GFF announced nine new nations have joined in May 2019, bringing the overall number of GFF-supported countries to 36.
