Side Meetings / Toolkit Sessions
Providing for Health (P4H) - Moving together towards universal coverage and social health protection
Organizer: WHO in collaboration with ILO, World Bank, France, Germany, Spain and Switzerland
Duration: Full Day (6 hrs including 2 breaks)
The challenge. Over 1 billion people have limited or no access to essential health services and around 100 million people are impoverished each year as a result of having to pay out of pocket for needed health care services.
The response. Providing for Health (P4H) is the global health initiative aimed at improving social health protection (SHP) in low and middle-income countries, particularly for the poor. Launched in 2007 during the G8 summit in Germany, P4H operates through a network of partners viz., Germany, France, Switzerland, ILO, WHO and the World Bank. It works with a lean management structure and draws on the global, regional and country structures of its members. P4H is an important landmark ushering in coordinated responses to accelerate countries’ transitions to universal coverage and social health protection.
Focus on countries. Many lower and middle income countries that have engaged in health reforms to respond to these challenges find themselves struggling with issues on how to move away from out-of-pocket spending towards pre-payment and pooling, on how to create fair and sustainable financing structures for health systems, how to increase funds for health or maintain them, and how to use funds more efficiently and equitably. However, the provision of support is often uncoordinated, limited in scope or it comes with pre-conceived approaches and ideas. In many cases, this leads to parallel work streams and at times conflicting messages to partner countries.
P4H. The purpose and focus of P4H is to support countries in developing effective, efficient, equitable and sustainable health and social protection systems for better SHP, in particular for the poor and other disadvantaged populations – contributing to the Millennium Development Goals 1, 4, 5 and 6.
Led by the country (ownership and stewardship) and guided by a national strategy and roadmap (joint action plan), P4H support is delivered through a country (P4H) network of partners, complemented by inputs from regional and global level if required. It covers a broad range of support: Provision of technical support and assisting in developing capacity for extending social health protection; raising more awareness about the global SHP challenge and the need to scale up support to partner countries in their efforts to improve it; generating opportunities for organizations to harmonize SHP-related contributions and align them with national strategies and plans; serving as a global platform for dialogue on SHP issues, including complex issues based on different values, interests or ideologies. P4H collaborates with other global health initiatives to promote and facilitate a style of program management and organization, which contributes to the development of sustainable health financing and social health protection mechanisms.
The added value of P4H is based on its strategic and broad-based approach to SHP including health and poverty issues, social dialogue and sustainable development, and its unique support network fostering coordinated multi and bilateral collaboration at country level.
The proposed side event. The theme, organisation and mix of participants of the Prince Mahidol Award Conference provide an excellent opportunity to discuss with country representatives, development partners and international experts on how to best respond to the above challenges. The P4H partners would like to invite selected participants to share their views and experiences about what countries need and intend to do to achieve UC and SHP, and to jointly think about how development partners could scale-up, coordinate and improve their support.
Keeping in mind that the transition to UC und SHP requires both, technical and political solutions, the P4H partners propose a one-day event,
- To understand what national stakeholders are seeking in terms of policy or technical support in health financing (morning session)
- To discuss how the P4H support network at country, regional and global levels can best meet these needs (afternoon session)
- Expected output/outcome
Participants are expected to be more aware about the challenges on the road to UC and SHP, to have better understanding of country level needs and the opportunities for joint interventions and coordinated support. One of the key outputs of the sessions will be a set of clear recommendations on the way forward for scaling up and improving our (P4H) work.
- Target participants and number of participants
Morning: 40 national stakeholders' representatives (MoH, MoF, MoSW, MoL, highest level in the ministries' permanent bureaucracy e.g. Permanent Secretary or Secrétaire Général) from 7 new P4H countries (Asia: Bangladesh, Nepal, Mongolia, Vietnam. Africa: Chad, Togo, Mali) + 20 P4H development partners' representatives = total of 60 participants.
- Room set-up and additional requirements
Meeting room for 60+ participants in the morning; seating arrangement should be suitable for inter-active sessions; LCD; basic meeting equipment.
- Proposed programme
Tentative agenda for morning session:
a) WHO keynote speaker: One year after the WHR on UC, where does P4H stand? Did the report contribute to raising demand, intensify collaborations? How have the recommendations been translated in the P4H countries? (With reference to the Glion Plan)
b) Introduction on the P4H approach: why, how and with who do we work? This presentation will remain simple (inform and involve, Paris declaration principles, etc.), without going into the details being discussed between P4H partners in the afternoon.
c) Country cases (presented by national stakeholders): e.g. Uganda, Philippines, Tanzania, Mongolia.
d) P4H key messages: how to scale-up and improve joint support - what would be the ideal scenario?
Afternoon: 20 P4H development partners' representatives from both regional and country levels (e.g. Regional: 1 WHO/WPRO, 1 WHO/SEARO, 2 French Regional Adviser, 1 ILO Bangkok, 1 WHO/AFRO, 1 WB Dakar, 1 WB Nairobi, 2 GIZ Eschborn. Countries: 10 P4H country network leaders)
Meeting room for 20+ participants in the afternoon; seating arrangement shosuld be suitable for inter-active sessions; LCD; basic meeting equipment.
Tentative agenda for afternoon session (P4H partners):
a) How does P4H operate? based on the P4H TOR, on the CD TOR, on the notes on country support and P4H missions, the P4H current operating mechanisms are presented and discussed with the participants. Questions like how to identify opportunities are raised and suggestions from the participants will be used to improve the P4H manual.
b) P4H capacity development strategy: presentation of the different dimensions of capacity development (individuals, institutions, networks, policy frame) and how to apply them to social health protection in the different P4H countries.
c) The role of the regional level in the P4H network: how to make the best use of the regional structures? Responsibilities of the regional structures and communication mechanisms with the other levels (national, CD, FP) will be discussed.
d) The new P4H partners: Where do they work on health financing, how do they work (structures and duties), what are the preferred communication channels?
e) P4H Monitoring and Evaluation: following its approval by the TCG, the M&E strategy will be presented by the CD and discussed with the participants.
Lunch break at 12.00-13.30 hrs (tentative time); Morning coffee break at 10.30-11.00 hrs and Afternoon coffee break at 15.00-15.30 hrs (tentative time)