PUBLIC FINANCING FOR UHC: TOWARDS IMPLEMENTATION
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1 WHO SYMPOSIUM ON HEALTH FINANCING FOR UHC PUBLIC FINANCING FOR UHC: TOWARDS IMPLEMENTATION 31 October - 02 November 2017, Montreux, Switzerland DAY 1: PUBLIC FINANCING FOR UHC MOVING TO IMPLEMENTATION (OCTOBER 31 ST ) 1: Overview of the issues: Public finance and UHC - country implementation opportunities and constraints 09:00 09:15 Welcome and opening remarks Agnès Soucat, Health Systems Governance and Financing, WHO 09:15 09:35 Framing of the meeting and key issues Joseph Kutzin, Health Financing, WHO 09:35 10:00 Keynote Address Midori de Habich, former Peru Minister of Health 10:00 10:30 10:30 11:00 COFFEE/TEA BREAK 2. What does transitioning from donor to domestic public financing mean in practice? Chair/moderator: William Savedoff, Center for Global Development 11:00 11:30 Panel: What issues do countries face when transitioning from donor to public financing for health? H.E.Dr. Phouthone Muongpak, Vice Minister of Health, Lao People s Democratic Republic Regina Ombam, National AIDS Control Council, Kenya 11:30 12:00 Panel: Ensuring sustainability of effective coverage Michael Borowitz, The Global Fund Christoph Kurowski, World Bank Xu Ke, WHO, Health Financing Discussant: Anshu Banerjee, WHO, Family, Women and Children 12:00 12:30
2 3. Moving towards public financing for health: from theory to practice Chair/moderator: George Schieber, Consultant 13:30 13:45 Unpacking the role of domestic public financing for UHC Hélène Barroy, WHO, Health Financing 13:45 14:10 Panel: Moving towards dominant public financing for health: addressing political economy challenges Viroj Tangcharoensathien, International Health Policy Program, Thailand Triin Habicht, Ministry of Social Affairs, Estonia 14:10 14:30 The political economy of public financing for health reforms Jesse Bump, Harvard School of Public Health 14:30-15:00 15:00 15:30 COFFEE/TEA BREAK 4. Earmarking: more resources for the health sector? Chair/moderator: Mark Blecher, National Treasury, South Africa 15:30 15:45 Earmarking for health: a review of country experience Susan Sparkes, WHO, Health Financing 15:45 16:00 Tobacco taxes, earmarking and the IMF Sanjeev Gupta, International Monetary Fund 16:00 16:30 Perspectives on earmarking as a health financing instrument? Ghana: Dan Osei, Ministry of Health, Ghana Gabon: Inoua Aboubacar, WHO, Gabon Discussant: Jeremias Paul, WHO, Tobacco Control Economics 16:30 17:00 17:00 17:15 Brief wrap-up of the day and priming next day 2
3 DAY 2: PUBLIC FINANCIAL MANAGEMENT (PFM) TRANSLATING CONCEPTS INTO PRACTICE (NOVEMBER 1 ST ) 1. How to define and implement a PFM agenda in health? Chair/moderator: Cheryl Cashin, Results for Development 9:00 9:50 Keynote address: H.E. Mme. Thipphakone Chanthavongsa, Deputy Minister of Finance, Lao People s Democratic Republic Panel: Setting PFM agenda in health: country perspective Mita Choudhury, National Institute of Public Finance, India Martin Ndoutoumou, Ministry of Health, Gabon Tom Hart, Overseas Development Institute, UK Grace Kabaniha, WHO Regional Office for Africa 9:50 10:15 Identifying PFM in health bottlenecks: examples from Latin America and Central and South Eastern Europe Ivor Beazley, OECD Discussant: Kay Blackburn, Department of the Treasury's Office of Technical Assistance, United States 10:15 10:45 Brief introduction to breakout sessions: Joseph Kutzin, WHO, Health Financing 10:45 11:15 COFFEE/TEA BREAK 1b. Breakout sessions on PFM in health 11:15 12:00 Group 1: Process and political economy considerations for effective Ministry of Health engagement (moderator: Jesse Bump/Susan Sparkes) Group 2: Addressing PFM bottlenecks in health to make budget work for health sector (moderator: Neil Cole) Group 3: both issues for francophone countries (moderator: Helene Barroy) 12:00 12:30 Reporting back and plenary discussion 2. Specific PFM issue one: Budget structure and health financing Chair/moderator: Ivor Beazley, OECD 13:30 13:50 Why and how budget structure matters for health financing: framing the issue Hélène Barroy, WHO, Health Financing Take away messages from pre-meeting on health budget structure: Elina Dale, WHO, Health Financing 3
4 13:50 14:45 Transitioning towards program-based budgeting in health: lessons from country experiences Mark Blecher, National Treasury, South Africa Panel: H.E Youk Sambath, Ministry of Health, Cambodia Nurida Baizakova, Ministry of Finance, Kyrgyzstan Jason Lakin, International Budget Partnership, Kenya Manjiri Bhawalkar, Harvard School of Public Health Discussant: Neil Cole, Collaborative Africa Budget Reform Initiative 14:45 15:00 15:00 15:30 COFFEE/TEA BREAK 3. Specific PFM issue two: Strategic purchasing and PFM rules Chair/moderator: Loraine Hawkins, Consultant 15:30 15:45 PFM and strategic purchasing: framing the issue Cheryl Cashin, Results for Development Discussant: Jack Langenbrunner, The Bill and Melinda Gates Foundation 15:45 16:30 Country panelists: Kalsum Komaryani, Ministry of Health, Indonesia Martin Sabignoso, Consultant, Argentina Gulmira Borchubaeva, Mandatory Health Insurance Fund, Kyrgyzstan 16:30 17:00 17:00 17:15 Brief wrap-up of the day and priming next day 4
5 DAY 3: DECENTRALIZATION SPOTLIGHT AND MAPPING THE FUTURE (NOVEMBER 2 ND ) 1a. Health financing in decentralized contexts: what are the issues? Chair/moderator: Hong Wang, The Bill and Melinda Gates Foundation 09:00 09:15 Key policy challenges arising from the context of fiscal decentralization David Coady, International Monetary Fund 09:15 09:30 Unpacking the key considerations, issues and challenges in implementing health financing reform in decentralized contexts? Inke Mathauer, WHO, Health Financing 09:30 09:45 Coverage expansion reform in a federal system Martin Sabignoso, Consultant, Argentina 09:45 10:00 Fiscal devolution and health financing reform: lessons for India from Brazil, China and Mexico Anit Mukherjee, Center for Global Development 10:00 10:30 10:30 11:00 COFFEE/TEA BREAK 1b. How to design and implement national health financing reforms in decentralized contexts? Chair/moderator: Kara Hanson, London School of Hygiene and Tropical Medicine 11:00 11:50 Panel: designing and implementing national health financing reform initiatives in decentralized contexts Kalsum Komaryani, Ministry of Health, Indonesia Bharati Das, Ministry of Health and Family Welfare, India Hellen Mbugua-Kabiru, Permanent Mission of Kenya to the United Nations Shehla Zaida, Aga Khan University, Pakistan Discussant: Awad Mataria, WHO Regional Office for the Eastern Mediterranean 11:50 12:30 2. Next steps and wrap-up on how the health sector can actively engage in decentralization process Chair/moderator: Joseph Kutzin, WHO, Health Financing 13:30 14:45 14:45 15:00 Future of agenda Reflections and perspectives on next steps/priority issues Closing of the meeting Agnès Soucat, WHO, Health Systems Governance and Financing 5
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