This report highlights ways in which Global Fund implementing countries are increasing domestic investments in health. The report, titled Innovation for Greater Impact: Exploring Resources for Domestic Health Funding in Africa, illustrates how, through a variety of approaches, African governments are mobilizing additional resources to fight HIV/AIDS, tuberculosis and malaria.
Many countries are already taking important steps in this direction. Six African countries – Liberia, Malawi, Rwanda, Swaziland, Togo and Zambia – are on track to reach the agreed Abuja target of allocating 15 percent of government spending on health. Such countries, on average, spend 20 times more of their own resources on health than they receive in assistance.
Several countries included in Friends’ report are exploring ways to mobilize new revenue through innovative financing. For example, Kenya, Tanzania and Zimbabwe are developing trust funds to increase resources to combat HIV/AIDS. With a track record of effective use of international funding, Rwanda is pioneering a results-based financing model that allows for self-generated savings to be ploughed back into the country’s HIV/AIDS response.