World Bank Group Support to Health Financing
Organization
IFC
Report Year
2015
1st MAR Year
2015
Accepted
Yes
Status
Active
Recommendation

4. Integrate all health financing functions by:

- Integrating results-based financing interventions with other health financing functions and the broader public finance context at the country level to address sustainability and prevent distortions and

- Developing a joint strategic approach between IFC and the Bank and complementary implementation on the ground, toward health insurance, including mandatory and voluntary coverage.

abc

Recommendation Adoption
IEG Rating by Year: mar-rating-popup N NYT NYT NT Management Rating by Year: mar-rating-mng-popup N NYT NYT NT
CComplete
HHigh
SSubstantial
MModerate
NNegligible
NANot Accepted
NRNot Rated
Findings Conclusions

The Bank can add value by stressing its comparative advantage via linking health financing with public finance and working across teams, as suggested in the 2007 HNP strategy.

An integrated approach that links health financing, including RBF, with public sector reforms is likely to be more effective than single-issue interventions in establishing the relevant institutions that are needed to sustain reforms.

The health financing collaboration between the IFC and the Bank has been limited so far.

Original Management Response

WB: Agree. The second phase of the RBF will include an explicit emphasis on fiscal limits and sustainability. WB, IFC Agree. The HNP GP will be working on developing a joint strategic approach with IFC toward health insurance.

Action Plans
Action 1
Action 1 Number:
0312-01
Action 1 Title:
Action 7: Develop joint WB/IFC strategic approach toward health insurance.
Action 1 Plan:

Action 7: Develop joint WB/IFC strategic approach toward health insurance.
Indicator: % of new IFC loans, equity, and other financial services with activities to establish/strengthen health insurance schemes that benefitted from a WBG-wide peer review.
Baseline: TBD (FY2015).
Target: TBD

Action 2
Action 3
Action 4
Action 5
Action 6
Action 7
Action 8
2018
IEG Update:
No Updates
Management Update:
No Updates
2017
IEG Update:
No Updates
Management Update:
No Updates
2016
IEG Update:
No Updates
Management Update:
No Updates
2015
IEG Update:

The Global Practice indicates that it has developed a road map for Bank-IFC collaboration in the health sector. As part of this discussion, IFC concluded that private voluntary health insurance is not a viable product for it to offer. As this is the centerpiece of Recommendation 0312, IEG proposes that this recommendation be made inactive.

Management Update:

Under the guidance of the WBG president, the WB and IFC developed a roadmap for harnessing the private sector for health. The roadmap concludes that private VHI does not constitute a viable means to achieve UHC. As such, health insurance does not constitute a priority for IFC investment and discussions are ongoing between the WB and ICF about how to reflect this strategic decision in action 7.