Innovative financing

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Innovative financing refers to a range of non-traditional mechanisms to raise additional funds for development aid through "innovative" projects such as micro-contributions, taxes, public-private partnerships and market-based financial transactions. [1]

Contents

As of the beginning of 2010, most of the existing innovative financing mechanisms were allocated for the health care sector in developing countries. [2] Innovative financing mechanisms have already raised US$2 billion over the past 3 years. [3]

Origin

The concept "innovative financing for development" was first mentioned and introduced at the International Conference on Financing for Development in 2002. The Conference led to what is now called the Monterrey Consensus where signatories acknowledged "…the value of exploring innovative sources of finance provided that those sources do not unduly burden developing countries." Innovative financing mechanisms were born out of a need to reach the Millennium Development Goals (MDGs) that 192 United Nations member states and at least 23 international organizations agreed to achieve by the year 2015. They include reducing extreme poverty, reducing child mortality rates, improving maternal health and combating HIV/AIDS, Malaria and other diseases such as Tuberculosis. [4] So far, most donor states have failed to meet their 0.7% commitment from the Monterrey Consensus of their Gross National Income (GNI) dedicated to Official Development Assistance. Furthermore, in most developing countries the budget allocated for the social, and especially the Health sector, has been insufficient as it fails to meet the 15% Gross National Product (GNP) requirement dedicated to the Health Sector stated in the Abuja declaration of African leaders in 2001.

Innovative financing mechanisms emerged at the beginning of the twenty-first century [5] as alternative mechanisms to help bridge the development financing gap.

Principles of innovative financing mechanisms

Innovative financing mechanisms can be assessed regarding the following principles:

Scaling-up: Innovative financing mechanisms should significantly increase funding in order to bridge the financing gap necessary to achieve the MDGs.

Additionality: Since these mechanisms were created to fill this gap, innovative financing mechanisms cannot replace Official Development Assistance nor will they be sufficient if certain countries decide to renounce the commitments that they have made.

Complementarity: The role of innovative financing mechanisms is to raise new funds for existing organizations and not to add new actors and complexities to the development landscape.

Sustainability: In order to have a significant and sustainable impact on the MDG's, innovative financing mechanisms should have the objective and ability to finance long-term programs in coordination with other countries. Finally, innovative financing mechanisms should be designed to comply with the other principles of the 2005 Paris Declaration on Aid Effectiveness and the 2008 Accra Agenda for Action.

Existing innovative financing mechanisms for Health

Unitaid, an international facility for the purchase of drugs against HIV/AIDS, Malaria and Tuberculosis, is supported by a so-called "air ticket solidarity levy," or a tax on airline tickets. As of 2009, 13 countries apply such a domestic tax on airline tickets. UNITAID funds projects through implementing partners across the three diseases based on the market impact criteria (making medication prices affordable for developing countries).

The International Finance Facility for Immunisation (IFFIm) issues bonds in the capital markets, converting long-term government pledges into immediately available cash resources. The pledges are used to repay IFFIm bondholders. So far, IFFIm has raised US$3.7 billion in the bonds markets backed by US$6.3 billion in government pledges. These funds are collected for the GAVI Alliance (formerly the Global Alliance for Vaccines and Immunisation). Since IFFIm's founding in 2006, it has provided close to half of GAVI's overall funding.

The Pneumococcal Advance Market Commitment (AMC) is a mechanism that supports the work of the GAVI Alliance by providing a financial incentive to manufacturers to invest in R&D and expand manufacturing capacity for new vaccines. Governments or organizations commit to buy or subsidize the purchase of a certain number of vaccines at a given price. The AMC has been implemented for pneumococcal vaccines to demonstrate both the feasibility of the AMC mechanism and its impact on accelerating the introduction and mass-production of these vaccines. As of summer 2012, the AMC had supported the introduction of pneumococcal vaccine in 17 developing countries.

Product RED is a mechanism supporting The Global Fund to Fight AIDS, Tuberculosis and Malaria. Thanks to the mechanism, global companies contribute a share of their profits on goods from sales branded with the Product Red trademark.

Debt2Health is a mechanism supporting the Global Fund to fight HIV/AIDS, Tuberculosis and Malaria. Through this mechanism, the Global Fund facilitates debt negotiation between creditors and debtors. Creditors agree to forgo part of the repayment of the money due to them against the commitment of the debtor to invest an agreed-upon amount on Global Fund-approved programs. So far, €200 million has been pledged by the end of 2009 and €50 million had been disbursed in October 2008.

Voluntary Contributions on travel and tourism products funds are collected by the Millennium Foundation through a donation to MASSIVEGOOD which lets travellers make an optional $2, £2 or €2 "micro-contribution" every time they purchase a travel services. All funds go to UNITAID in its fight against HIV/AIDS, tuberculosis and malaria. Additional funding will go towards improving maternal and child health in the developing world.

De-Tax is a "proposal to earmark a share of VAT Taxes generated by participating businesses for health systems development". De-Tax is being discussed by the G20 countries. [6]

Possible promising innovative financing mechanisms for development

Among some potential future innovative finance mechanisms: Currency Transaction Levy (CTL) is a potential mechanism that would let governments apply a tax on foreign exchange transactions. An expert working group is underway to assess the feasibility of the proposed levy of 0.005%. The tax would be managed through computerized payments made in connection with the settlement of every trade. Auctioning of permits to emit greenhouse gases could be one of the first innovative financing mechanisms earmarked for environmental purposes. Germany announced that it would allocate €225 million from the 2009 proceeds of these auctions to fund development activities. [7] The development process of new innovative financing mechanisms has been improved thanks to the contribution of various players. Interagency initiatives such as The High Level Taskforce on Innovative International Financing for Health Systems and The Leading Group on Innovative Financing for Development have facilitated coordination processes between actors and is also a platform for introducing new innovative financing mechanisms. [8] LSL World Initiative is another company focusing on innovative financing. They assist governments to put in place micro-surcharges, taxes and public-private partnerships as mechanisms to raise additional funds and finance development projects. They focus specifically on the ICT and telecoms sector, harnessing diaspora flows. [9] Another example of innovative (ocean) financing ″is the issuing of Blue Bonds by the Government of the Seychelles, an innovative approach to promote the African islands’ Blue Economy (The Blue Economy) investment strategy.″ The intention of the bond is to finance and enhance the local fishery management in order to secure the marine ecosystem. [10]


Key publications have helped shaping the Innovative Financing framework. Among these key publications are: the Landau report, the report of Working Group 2 from the Task Force for Innovative Financing in Health Systems, a report by Brookings Institution and the World Bank.

Innovative Financing has received support from the United Nations through international conferences on Financing for Development and the Doha Declaration on Financing for Development.

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Millennium Development Goals eight international development goals for the year 2015 by the United Nations

The Millennium Development Goals (MDGs) were eight international development goals for the year 2015 that had been established following the Millennium Summit of the United Nations in 2000, following the adoption of the United Nations Millennium Declaration. These were based on the OECD DAC International Development Goals agreed by Development Ministers in the “Shaping the 21st Century Strategy”. The Sustainable Development Goals (SDGs) succeeded the MDGs in 2016.

The concept of an International Finance Facility (IFF) first was proposed by HM Treasury in conjunction with the Department for International Development of the United Kingdom. An IFF is designed to frontload aid to help meet the Millennium Development Goals. Bonds are issued on global capital markets, against the security of government guarantees to maintain future aid flows, which would be used to buy back the bonds over a longer period. This allows a large amount of aid to flow soon, at the expense of less aid in the future. Critics have raised concerns that the poorest countries in particular don't have the ability to efficiently spend such large amounts of aid, and that their economies may not be able to cope with such rapid change either.

An advance market commitment (AMC) is a binding contract, typically offered by a government or other financial entity, used to guarantee a viable market for a product once it is successfully developed. Generally AMCs are used in circumstances where the cost of developing a new product is too high to be worthwhile for the private sector without a guarantee of a certain quantity of purchases in advance.

Global health Health of populations in a global context

Global health is the health of populations in the global context; it has been defined as "the area of study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide". Problems that transcend national borders or have a global political and economic impact are often emphasized. Thus, global health is about worldwide health improvement, reduction of disparities, and protection against global threats that disregard national borders. Global health is not to be confused with international health, which is defined as the branch of public health focusing on developing nations and foreign aid efforts by industrialized countries. Global health can be measured as a function of various global diseases and their prevalence in the world and threat to decrease life expectancy in the present day.

The Global Fund to Fight AIDS, Tuberculosis and Malaria is an international financing and partnership organization that aims to "attract, leverage and invest additional resources to end the epidemics of HIV/AIDS, tuberculosis and malaria to support attainment of the Sustainable Development Goals established by the United Nations". This multistakeholder international organization maintains its secretariat in Geneva, Switzerland. The organization began operations in January 2002. Microsoft founder Bill Gates was one of the first donors to provide seed money for the partnership.

Sir Richard George Andrew Feachem, KBE, FREng is Professor of Global Health at both the University of California, San Francisco, and the University of California, Berkeley, and Director of the Global Health Group at UCSF Global Health Sciences. He is also a Visiting Professor at the University of London and an Honorary Professor at the University of Queensland.

Pneumococcal vaccine

Pneumococcal vaccines are vaccines against the bacterium Streptococcus pneumoniae. Their use can prevent some cases of pneumonia, meningitis, and sepsis. There are two types of pneumococcal vaccines: conjugate vaccines and polysaccharide vaccines. They are given by injection either into a muscle or just under the skin.

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Action for Global Health

World Pneumonia Day provides an annual forum for the world to stand together and demand action in the fight against pneumonia. More than 100 organizations representing the interests of children joined forces as the Global Coalition against Child Pneumonia to hold the first World Pneumonia Day on 2 November 2009. Save The Children artist ambassadors Gwyneth Paltrow and Hugh Laurie, Charles MacCormack of Save The Children, Orin Levine of PneumoADIP, Lance Laifer of Hedge Funds vs. Malaria & Pneumonia, the Global Health Council, the GAVI Alliance, and the Sabin Vaccine Institute joined together in a call to action asking people to participate in World Pneumonia Day on 2 November. In 2010, World Pneumonia Day falls on 12 November.

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Millennium Foundation

The Millennium Foundation for Innovative Finance for Health is an independent, non-profit Swiss organization, established in November 2008 in order to create new ways to finance health systems in low- and middle-income countries. Based in Geneva, Switzerland, the Millennium Foundation aims to ensure that international commitments on improving health care are met through the development of innovative financing projects. Its first such project – called MassiveGood – was launched on 4 March, and will give travelers the possibility to add a $2, £2 or €2 micro-contribution to the purchase of a travel reservation, with all proceeds going to the fight against HIV/AIDS, malaria and tuberculosis.

Global Health Initiatives (GHIs) are humanitarian initiatives that raise and disburse additional funds for infectious diseases– such as AIDS, tuberculosis, and malaria– for immunization and for strengthening health systems in developing countries. GHIs classify a type of global initiative, which is defined as an organized effort integrating the involvement of organizations, individuals, and stakeholders around the world to address a global issue.

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Dr. Winnie Mpanju-Shumbusho is a Tanzanian-born paediatrician and public health leader who until December 31, 2015 served as World Health Organization (WHO) Assistant Director General for HIV/AIDS, Tuberculosis, Malaria and Neglected Tropical Diseases based in Geneva, Switzerland. From 2016 to 2019, she served as Board Chair of RBM Partnership To End Malaria. Before joining WHO in 1999, Mpanju-Shumbusho was Director General of The East, Central and Southern African Health Community (ECSA-HC) formerly known as the Commonwealth Regional Health Community for East, Central and Southern Africa (CRHC-ECSA). Mpanju-Shumbusho is a co-founder, board member, and volunteer for the not-for-profit organization Adventures in Health, Education, and Agricultural Development, which was founded in 1981 to provide hands-on, people-to-people assistance to underserved communities in Africa and inner-city United States. She was also co-founder of the Medical Women Association of Tanzania and served as Treasurer and Executive Committee member of the Medical Association of Tanzania. In 2019, she was awarded the Multisector Partnership Honour by Malaria No More as one of the top Women Leading the Fight Against Malaria. Mpanju-Shumbusho is married with two adult children.

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References

  1. "Navin Girishankar(2009), Innovating Development Finance: From Financing Sources to Financial Solutions" (PDF). World Bank. Retrieved 20 January 2010.
  2. "Innovative financing to fund development: progress and prospects" (PDF). Organization for Economic Co-operation and Development. Retrieved 20 January 2010.
  3. "More money for health, and more health for the money, Taskforce on Innovative International Financing for Health Systems" (PDF). Taskforce on Innovative International Financing for Health Systems. Retrieved 20 January 2010.
  4. "United Nations Millennium Development Goals". United Nations. Retrieved 20 January 2010.
  5. "What is innovative financing?". Leading Group on Innovative Financing for Development. Retrieved 20 January 2010.
  6. "Tremonti announces "Detax", a financing instrument to fight poverty". Action for Global Health. Retrieved 20 January 2010.[ dead link ]
  7. "Innovative financing to fund development: progress and prospects" (PDF). Organization for Economic Co-operation and Development. Retrieved 20 January 2010.
  8. "High Level Taskforce on Innovative International Financing of Health Systems". International Health Partnership. Retrieved 19 September 2012.
  9. "Home | Mobilise funds to innovatively finance development". lslwi.com. Retrieved 2015-10-29.[ permanent dead link ]
  10. > "Innovative Ocean financing: Seychelles Blue Bonds". Food and Agriculture Organization of the United Nations. Retrieved 16 November 2017.