This week at the Third International Financing for Development Conference in Addis Ababa, we’ve seen the birth of a new era in global health financing.
The World Bank Group, together with our partners in the United Nations, Canada, Norway, and the United States, just launched the Global Financing Facility in support of Every Woman Every Child. It’s hard to believe it’s been less than 10 months since the GFF was first announced at the 2014 UN General Assembly by World Bank Group President Jim Yong Kim, UN Secretary-General Ban Ki-moon, Prime Minister Stephen Harper of Canada and Prime Minister Erna Solberg of Norway. We’re grateful to the hundreds of representatives from developing countries, UN agencies, bilateral and multilateral development partners, civil society and the private sector who have contributed their time, ideas, and expertise to inform and shape the design of the GFF to get it ready to become operational.
This week in Addis Ababa, Ethiopia, during the Third International Financing for Development Conference, the United Nations, along with the World Bank Group, and the governments of Canada, Norway and the United States, joined country and global health leaders to launch the Global Financing Facility (GFF) in support of Every Woman Every Child. Partners announced that $12 billion in domestic and international, private and public funding had already been aligned to country-led five-year investment plans for women’s, children’s and adolescents’ health in the four GFF front-runner countries: Democratic Republic of the Congo, Ethiopia, Kenya and Tanzania.
In the last couple of months, we saw some amazing events making the news headlines. From World Bank President Jim Kim’s outstanding lecture at Georgetown University on “Lessons from Ebola”, to the World Health Organization’s (WHO) announcement that Ebola response is moving to the next stage, one may think that the pandemic is over. That no more lives will be lost to this terrifying disease.
But voices from the scientists, who have been the first to discover the Ebola virus last year, raised above the general enthusiasm and warned the international community to stay focused. Researchers from Institut Pasteur in France fear that the virus has mutated and could have become even more contagious. The new variation poses a higher risk of transmission. This means that dozens, if not thousands, of lives could be again at risk.
And while WHO shifts the focus from slowing transmission of Ebola to ending the epidemic, the world may actually be at the verge of a new pandemic emergency. With the recent surge in new cases in Sierra Leone, the world must stay focused until we reach and maintain zero cases in each affected country.
The UN Secretary General convened an International Ebola Recovery Conference last week to advocate that recovery efforts go beyond redressing direct development losses to build back better and ensure greater resilience.
In May, the World Health Organization released numbers on how many health workers in Guinea, Liberia, and Sierra Leone have been affected by Ebola. The numbers are striking: For these heroic workers, the probability of being infected by Ebola is 21 to 32 times more likely than for a member of the general public.
With the Ebola outbreak waning but not yet over, the three most affected countries must now find ways to rebuild their economies and strengthen their health systems to try to prevent another health crisis in the future.
To that end, the presidents of Guinea, Liberia, and Sierra Leone came to the World Bank on April 17 to ask for help funding an $8 billion, 10-year recovery plan for the three countries, with $4 billion needed over the next four years to accelerate recovery. More than $1 billion was pledged by the end of a high-level meeting at the start of the World Bank Group -IMF Spring Meetings – including $650 million from the World Bank Group.
Blair Glencorse of the Accountability Lab discusses the importance of community-driven development and how filmmaking can engage people in accountability goals.Many organizations and development professionals have found that reaching initial benchmarks is sometimes easier than sustaining them. However, with clear goals, development progress can be sustained in the long-run.
According to Blair Glencorse of the Accountability Lab, setting goals that are context-specific is critical. The Accountability Lab, he says, meets “people where they are, not where we want them to be,” and takes into consideration the varying levels of literacy, numeracy, and other practical skills of their clients when designing a program.
At the same time, a program is only as strong as its supporters so encouraging community members to speak up is equally important.
Taking a holistic approach, the Accountability Lab works with young people in Liberia, training them to create documentaries on issues related to accountability. The up-and-coming filmmakers then present the documentaries to their communities at film festivals to spread awareness and get people involved in tackling the tough issues.
On March 5, Liberian physicians discharged Beatrice Yardolo, an English teacher, from the hospital, hoping that she would be their last Ebola patient. Unfortunately, last Friday another person in Liberia tested positive for the disease that has killed more than 10,000 people in West Africa.
The bad news was a reminder that the world must remain vigilant and insist that we get to zero Ebola cases everywhere. We also must support Guinea, Liberia, and Sierra Leone in their efforts to build back better health care systems to prevent the next epidemic.
Beatrice survived Ebola, but she and the other survivors have paid dearly because of the outbreak. She lost three of her 10 children to Ebola, her home was encircled in quarantine, and she’s been unable to work. She and her country face a daunting road back to recovery and they remain at risk of Ebola as long as there is a single case in the region.
In Liberia, the number of weekly new cases of Ebola Virus Disease (EVD) has fallen sharply since November 2014, and domestic “aversion behavior” due to the crisis is abating. There is greater mobility of people, as reflected in the reopening of markets and increasing petrol sales. The government is more bullish about the future course of the epidemic and has lifted curfews, recalled furloughed civil servants, and opened borders, and is reopening schools, shuttered since the onset of the crisis.
I like entertaining my western friends with stories of growing up in the post-communist Kazakhstan limbo, when everything ended, but nothing had yet started. Stories of how my friends and I would collect old newspapers to trade for books and Moscow magazine subscriptions. And later on, selling empty milk bottles back for some cash to buy candy and chewing gum in the newly opened Chinese shops. The audience goes “oohh” and “ahh”, and oh do I feel like I’ve seen a lot and know what life is like!
I have to admit – attending the Fragility Conflict and Violence (FCV) Forum 2015 that took place at the World Bank HQ last week was an experience that changed my perspective on hardships of life in developing countries. There are developing countries and then there are fragile and conflict-affected countries.