Co-financing for UHC: Lessons from the UNDP-STRIVE pilot in seven Sub-Saharan Africa countries


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Interventions that address the social determinants of health can yield multiple benefits beyond the health sector, such as on education or the economy. However, standard methods for economic evaluation focus on assessing the impact of interventions on a single sector and, in doing so, underestimate their overall value. As a result, high-value, cross-cutting initiatives are often under-valued, under-financed and under-implemented.

In this webinar, Teresa Guthrie presents lessons learned from piloting an innovative cross-sectoral co-financing approach that aimed to respond to this challenge. Developed by STRIVE and the United Nations Development Programme (UNDP), this approach offers a new way for public entities to budget for interventions that deliver benefits across sectors, Sustainable Development Goals (SDGs) and SDG targets simultaneously. Specifically, co-financing calls for costs of high-value interventions to be split among ‘benefitting sectors’, with specific contributions guided by each sector’s willingness to pay for expected results.

About the presenter

Teresa Guthrie is a South African health economist with over sixteen years’ experience within African public health finance systems, specifically: costing, budgeting and financing of health interventions (HIV, PHC, TB, hepatitis, immunisation, nutrition) and working with African public health finance systems, PEPFAR and Global Fund funding systems, as well as UN agencies: UNAIDS, WHO, UNDP, including value-for-money analysis. 

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