The Global Financing Facility: Save the Children’s Recommendations



Save the Children believes that the proposed Global Financing Facility for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) has the potential to make significant contributions to improving RMNCAH health outcomes and inequalities provided that it meets the following criteria:

  • It must support RMNCAH services embedded in comprehensive health services and not ever fund separate projects which undermine these services. The GFF must not under any circumstances promote vertical funding which further fragments national health systems.

  • Be part of the movement for building Universal Health Coverage in countries and demonstrate how its support will further this objective. This includes supporting countries to develop sufficient and sustainable domestic resources for health, raised through fair taxation systems, enabling countries to move away from relying on private and out of pocket expenditure towards mandatory, pre-paid and pooled funding mechanisms for health.

  • Be based on the principles of aid effectiveness and work through IHP+ processes, supporting jointly assessed and approved national health plans rather than demanding separate proposals and reporting.

  • Provide grants not loans to low income countries and ensure funding does not indebt poor countries further.

  • Be governed by a participatory and democratic structure, broader than the World Bank, with equal weight carried by recipient countries, and the full participation of civil society at national and global level, and with independent advisers.

  • Demonstrate sufficient added value to justify establishing another global health mechanism, including adequate levels of donor funding made available through multi-year commitments.