Caribbean Countries to Benefit from New Initiative Aimed at Strengthening Primary Health Care Services

PARIS – Caribbean countries are likely to benefit from a new initiative launched in Paris aimed at investing in and strengthening essential, climate and crisis-resilient primary health care (PHC) services in low- and low-and-middle income countries (LICs, LMICs).

GOLDFAJIIDB President Ilan Goldfajn.The multilateral development banks have joined with the World Health Organization (WHO) to launch the new Health Impact Investment Platform that builds on experience gained through cooperation between countries, multilateral organizations and development banks proved fruitful during the pandemic

The Platform, launched during the Summit for a New Global Financing Pact here, will make an initial Euro 1.5 billion (One Euro=US$1.29 cents) available to LICs and LMICs in concessional loans and grants to expand the reach and scope of their PHC services, especially for the most vulnerable and underserved populations and communities.

The African Development Bank (AfDB), European Investment Bank (EIB), Islamic Development Bank (IsDB) and WHO are the Platform’s founding members.

The Inter-American Development Bank (IDB) is also considering joining this partnership in view to extending this initiative to the Latin America and the Caribbean region.

“Good health and well-being are common goals that bind the world together. To achieve these goals, countries and institutions must collaborate. We are convinced that cooperation,  not only between nations but also between governments and the private sector, is critical to achieving universal health coverage,” said IDB President, Ilan Goldfajn.

“Recognizing the global nature of this investment platform, we are already in discussions with other stakeholders to expand these efforts across Latin America and the Caribbean. We extend an open invitation to our partners to join this global investment platform,” he added.

The Council of Europe Development Bank (CEB) said it also supports this initiative and looks forward to stepping up investments to enhance healthcare systems in its member countries, including now Ukraine, focusing on the most vulnerable.

The WHO will act as the Platform’s policy coordinator, responsible for ensuring alignment of financing decisions with national health priorities and strategies. The Platform’s secretariat will support governments to develop national health and prioritize PHC investment plans. The Platform will also aim to catalyse wider PHC investments in support of government health strategies.

WHO Director-General, Dr. Tedros Adhanom Ghebreyesus, said a PHC approach offers the most effective means to improve health and well-being, including through the delivery of essential health services to all people.

It is a driver of universal health coverage, one of the United Nations Sustainable Development Goals (SDGs). World leaders committed in 2015 to achieve access to essential health-care services and affordable essential medicines and vaccines for all people by 2030.

“Around 90 per cent of essential health services can be delivered through PHC – on the ground, in communities, via health professionals, doctors and nurses, in local clinics. The broad spectrum of services that PHC provides can promote health and prevent disease, avoid and delay the need for more costly secondary and tertiary services, and deliver rehabilitation,” said Dr Tedros.

“PHC serves as the ‘eyes and ears’ of a country’s health system, reaching to the very communities where people live. The new Health Impact Investment Platform will strengthen the development of such services, serving as an invaluable investment in the health of populations today and in the future,” he added.

EIB President Werner Hoyer said the partner development banks were committed to supporting countries to strengthen their primary health care services, to both promote the health of their communities and protect against the impacts of future health emergencies.

“COVID-19 demonstrated the great human and economic suffering that can occur when we fail to invest in essential health services.

“Cooperation among multilateral development banks through the new Health Impact Investment Platform will ensure countries in need are better able to build resilient primary health care services that can withstand the shocks of future health crises, and safeguard communities and economies for the future.

“We already proved that in earlier collaborations with the WHO. The platform will facilitate access to crucial international financing for the most vulnerable. It is a concrete deliverable of President Macron’s call to increase international financial solidarity with the Global South,” Hoyer added.

Before the COVID-19 pandemic, WHO estimated that to reach the health-related Sustainable Development Goals (SDGs), LICs and LMICs needed to increase their health spending significantly, and require an additional US$371 billion annually combined by 2030.

This funding would allow populations to access health services, contribute to building new facilities and train and place health workers where they need to be.

It has also been estimated that preparing for future pandemics will require investment in the order of US$31.1 billion annually.