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Government Support

We establish long-term partnerships with governments across sub-Saharan Africa, typically lasting 3-5 years. Throughout the partnership, we embed our health financing experts within the Ministry of Health to support the development and costing of integrated Community and Primary Health Strategies, create investment cases, and mobilize resources to facilitate the implementation of these strategies.

Our model of government support is rooted in 4 key steps:

Political Prioritization:

  • Support PH & CH team development & identify champions
  • Make the case (incl. ROI)
  • Continue advocacy over time

Develop strategy, policies, costing:

  • Develop country strategy
  • Build supportive policies
  • Run iterative costing process

Map resources

  • Identify & prioritize existing funding sources
  • Analyze financial gap
  • Develop financing pathways

Create Investment Plan:

  • Summarize the investment case
  • Share with stakeholders
  • Build the team capability in public financial management

The Country
Spotlight

Since inception in 2015 FAH has supported 22 governments (16 national and 6 sub-national governments).

We are currently active in 7 countries: Kenya, Zambia, Ethiopia, Central African Republic, Senegal, Sierra leone, Mali 

FAH has has worked alongside Kenyan national Ministry of Health county governments  of Laikipia, Tharaka Nithi, Makueni, Nyeri, Nakuru and Nairobi since 2017 in laying the groundwork for robust resource mobilization efforts to bolster their community health programs. Thus far:  

  • FAH has supported the national government in resource mobilization through Global Fund and/or Global Financing Facility application.  
  • FAH has supported community health strategy co-development, with Ministries of Health at both national and county governments of Laikipia, Tharaka Nithi, Makueni, Nyeri, Nairobi and Nakuru. 
  • Through FAH support, Tharaka Nithi, Laikipia and Makueni governments in Kenya collectively secured ~KES 230M (US$ 2.3M) to finance community health in their counties respectively. 
  • FAH has trained ~80 diverse stakeholders on public financial management 

Download Kenya Resources 

  1.  Makueni County Community Health Services Policy 2020-2030   
  2. Makueni County Community Health Services Strategy 2021-2025 
  3. Tharaka Nithi County Community Health Strategy 2021-2025 
  4. Laikipia County Community Health Strategy 2021-2025 
  5. Nairobi County CHS Implementation Plan 2023 -2027 
  6. Nairobi City County Community Health Services Investment Case  
  7. Tharaka Nithi County Investment Case Brief 
  8. Nakuru County Community Health Strategy  

Zambia is a developing country in Southern Africa that has made some significant advancements in the economy, technology, and healthcare sectors over the past decade. However, the country is suffering from a huge disease burden. One in sixteen children in the country dies before the age of five. Most of them die from preventable diseases like malaria, diarrhea, pneumonia, and malnutrition. Moreover, the country faces an ever-lasting shortage of healthcare workers, primarily in rural areas.

Community health systems are changing this by extending the reach of health services to the last mile, but they remain underfunded. To help bridge the access gap through community health systems, FAH:

  • Supported community health strategy co-development, with Ministries of Health
  • Supported resource mobilization through Global Fund and/or Global Financing Facility application preparations
  • Costing, financial gap analysis, resource mapping & ROI of the operational plan (OP) of the new CH strategy

In collaboration with the Ministry of Health in Zambia, the Financing Alliance for Health (FAH) has made significant strides in its mission to operationalize, design, and advance Sexual, Reproductive, Maternal, Neonatal, Child, and Adolescent Health (SRMNCAH) outcomes, with a strong focus on steering the country towards Universal Health Coverage (UHC). Recognizing the pivotal role of Primary Health Care (PHC) programming and strategic health financing, we aim to strengthen healthcare delivery across Zambia by integrating and enhancing SRMNCAH services within primary and community health care systems. Our goal is to elevate the standards of reproductive and child health outcomes nationwide, ultimately striving for equity and accessibility in healthcare provision. By reinforcing financing and policy frameworks for sustainable and effective SRMNCAH services, we aim to dismantle barriers to access and improve the quality of care throughout the country.

Download the Zambia resources:

  1.  CHW SOP 
  2. Zambia CH advocacy and RM strategy 2024-2026 
  3. Link climate docuseries on youtube 

The Government of Senegal, through the Ministry of Health and Social Action (MSAS), has prioritized Primary Health Care (PHC) and Sexual, Reproductive, Maternal, Newborn, Child, and Adolescent Health (SRMNCAH) to achieve Universal Health Coverage (UHC) as outlined in the Plan National de Développement Sanitaire et Social (PNDSS 2019-2028) vision. The Senegal MSAS has partnered with the Financing Alliance for Health (FAH) to implement these priorities. FAH provides technical and financial support to the design and implementation of the ongoing reforms in PHC and SRMNCAH, focusing on governance, health financing system review towards improving service delivery, strengthening PHC and Community health programming and gender integration.  

These efforts aim to optimize resource allocation, improve community health services, and increase access to SRMNCAH services at PHC level without financial hardship. FAH is committed to fostering collaboration and supporting Senegal’s efforts to strengthen its health system and drive sustainable improvements in health service delivery.  

FAH’s efforts aim to optimize resource allocation and increase access to health services without financial hardship4. 

In collaboration with Last Mile Health (LMH), FAH is providing comprehensive support to enhance the capacity and effectiveness of health systems in our partner countries. Our key areas of focus include:  

Technical Assistance to the Ministry of Health: FAH and LMH provided strategic technical assistance to the Ministry of Health during the planning and implementation phases of the Global Fund Catalytic Fund. This support is crucial for maximizing the impact of the Fund’s resources, ensuring that they are directed towards high-priority areas that will yield the most significant health outcomes.  

Development and Scale of Digital Blended Learning for Health Extension Workers (HEWs): FAH and LMH are spearheading the development and scaling of a digital blended learning platform designed to train Health Extension Workers (HEWs). This innovative approach combines online and in-person training methods, enabling HEWs to acquire essential skills more efficiently and effectively, ultimately improving healthcare delivery at the community level.  

Strengthening Capacity for Access to the Africa Frontline First Catalytic Fund (AFF-CF): Building on the foundation laid by the BIRCH initiative, FAH and LMH are preparing countries to access and utilize the Africa Frontline First Catalytic Fund (AFF-CF). This preparation includes capacity building, strategic planning, and resource mobilization, ensuring that countries are well-equipped to leverage the AFF-CF.  

Gender Integration in Health Programming: FAH and LMH are committed to integrating gender considerations into all aspects of our health programming. This includes designing and implementing interventions that address the unique health needs and ensuring that gender-sensitive approaches are embedded in health policies design and practices.  

Through these targeted initiatives, our aim is to empower health systems, enhance the skills of frontline health workers, and ensure that health services are accessible and equitable for all, particularly in underserved communities. Our partnership with LMH is driven by a shared vision of achieving lasting improvements in global health outcomes.  

Has made significant strides in improving public health, but challenges remain, particularly in the shortage of health professionals, limited access to heath facilities in rural areas, and health funding. Communicable diseases like malaria, respiratory infections, and diarrheal diseases continue to pose serious health risks, especially for children and vulnerable populations. Maternal and child mortality rates also remain high.  

In response, CAR with the support from Financing Alliance for Health (FAH), has initiated evidence-based reforms focused on strengthening primary health care (PHC) system to enhance access to quality Sexual, Reproductive, Maternal, Neonatal, Child, and Adolescent Health (SRMNCAH) services and move towards Universal Health Coverage. FAH is providing technical assistance to support the implementation of the ongoing reforms, including capacity building, improving strategic planning at all levels and health financing system governance. .  

FAH remains dedicated to collaborating with CAR’s MOHP to make a lasting impact on public health, driving sustainable improvements in the health system, and improving healthcare outcomes for all. 

The Ebola Outbreak in West Africa wrecked immeasurable havoc but it also created an opportunity for Sierra Leone to restructure and relaunch their national community health worker (CHW) program after years of segmented community-based programs. In recognition of the role community health workers played responding to the Ebola outbreak, the Ministry of Health and Sanitation embarked on a redesign and revitalization of the country’s CHW in 2016.  

To help the government realize the ambition of building an at-scale and resilient community health system, the Financing Alliance for Health:  

  • Supported community-health strategy co-development and costing  
  • Supported resource mobilization through Global Fund and Global Financing Facility application  
  • In collaboration with partners, supported strengthening stakeholder engagement within the Ministry of Health (MoH) and built the capacity of government officials on public financial management (PFM)  

In addition, we are providing technical assistance to the Sierra Leone Ministry of Health in the areas of Primary Health Care programming and innovative financing to advance Sexual, Reproductive, Maternal, Neonatal, Child, and Adolescent Health (SRMNCAH) towards achieving Universal Health Coverage. We have embedded team members within the Directorate of Planning, Policy, and Information at the Ministry of Health. Our team is offering technical support to operationalize and sustainably finance family planning and safe abortion services, integrating these into primary and community health systems to improve maternal and neonatal health outcomes, thereby moving the country closer to Universal Health Coverage. 

In collaboration with MUSO, FAH is actively engaged in a range of initiatives aimed at strengthening community health system and improving health service delivery. Our partnership focuses on the following key areas:  

Training of New Community Health Workers (CHWs) on Integrated Community Case Management (iCCM): FAH and MUSO are supporting the comprehensive training of new Community Health Workers (CHWs) in iCCM, a critical approach that empowers CHWs to diagnose and treat common childhood illnesses such as malaria, pneumonia, and diarrhea at the community level. This training is essential for enhancing the capacity of CHWs to scale up life-saving interventions and reduce child mortality rates in underserved and hard-to-reach areas.  

Collaboration with the Ministry of Health to Finalize the Primary and Community Health Investment Case: In partnership with the Ministry of Health, FAH and MUSO are  working to finalize the investment case for primary and community health. This document is vital for securing the necessary resources and mobilize political will to strengthen the primary health care system and expand access to health services at community level. Our efforts aim to ensure that the investment case is robust, evidence-based, and aligned with national health priorities.  

Strengthening Capacity for Access to the Africa Frontline First Catalytic Fund (AFF-CF):  
Building on the progress made through the BIRCH initiative, countries have been supported to effectively access and utilize the Africa Frontline First Catalytic Fund (AFF-CF). This involves capacity building, strategic planning, and resource mobilization, enabling countries to leverage the AFF-CF to scale up and sustain frontline health services, particularly in resource-constrained settings.  

Gender Integration in Health Programming: FAH and MUSO are deeply committed to integrating gender considerations into all aspects of our health programming and embedding gender-sensitive approaches into policy design and program implementation.  

Through these collaborative efforts with MUSO, our primary goal is to enhance community health system, enhancing the skills and effectiveness of frontline health workers, and promoting equitable access to quality healthcare for all.