EC, EAGHA, The Lancet

Background Increased funding for health over last two decades,

external resources account for av. 25 % health funding, in some countries 50%.

Disease focus resulted in stagnation of health system funding until recently

Complex environment inc. funding for health interventions, targets, services and systems; bilateral and multilateral donors; various recipients governments, para-statal institutions, NGOs and private sector.

Increased scrutiny due to failure to reach MDGs, lack of country ownership, variable funding, fragmentation, inefficiency of disbursements, crowding out of national funding, economic pressures etc.

Background Paris Declaration and Accra Agenda for Action Taskforce for Innovative International

Financing for Health Systems recommended +$10 bn of which 40 % to be on human and physical capital to increase absorptive capacity and the remainder on recurrent costs.

Evidence linking improved health outcomes to DAH is weak

Greater emphasis on health systems and on budget support when there are demands for better data on results poses challenges of attribution

BackgroundNew approaches must; Address the needs of several stakeholders- national

governments, donor community, taxpayers Allow attribution of outcomes by different funders Minimise double counting Be readily intelligible to non-experts Maximise transparency, including time lags Be feasible to implement within constraints Reflect importance of health systems funding rather

than attributing all health benefits to funding of commodities

Use effectiveness rather than efficacy estimates Use standardised approaches to lives saved

•Achieve a first step  towards international agreement on good practice in reporting health impacts arising from development aid and health investments

•Explore readiness of international development partners to embark on this exercise, •Explore the capacity and readiness of the European and other academic global health institutions to get involved in this work

Near term: Circulate a brief workshop report on action points and

next steps Follow up meeting to engage Southern partners at

Global Forum meeting in AprilMid term: Concept paper on principles and on methodologies to be

tested (mid 2012) ? Collective scientific article (end 2012)? A programme offer of support to LIC to test the

methodology (mid/end 2012)? Long term: Inputs to WHO / WHA on good practice principles in

global health reporting (2013/2014)?