Joint Learning Fund — empowering country-led reform
The JLF is a catalytic, flexible financing mechanism that empowers member countries to contextualize and implement proven tools and frameworks co-developed through peer learning — accelerating progress toward Universal Health Coverage.
How It Works
Proposal Submission and Award Process
JLN member countries access the Joint Learning Fund through a structured, transparent, and quality-driven process designed to maximize impact. This ensures that every funded initiative is country-owned, technically robust, strategically aligned, and positioned to deliver meaningful progress toward Universal Health Coverage.
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Request for Proposals Issued
JLN Network Manager issues the Request for Proposals.
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Country Proposal Submission
Member countries submit country-led proposals focused on addressing priority health system challenges.
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Screening & Strengthening
Network Manager and Technical Facilitators review the proposals and ensure constructive technical guidance for refinement.
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Award
Steering Group approves proposals aligned with the country context and implementation pathways focused on sustainable change and measurable impact.
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Participating Countries and Initiatives
Joint Learning Fund (JLF) initiatives are designed as pilots with clear pathways toward advocacy, scale-up, and institutionalization within public systems. Planned activities include stakeholder dialogues, policy-related research, adaptation of global frameworks and tools to specific country contexts and pilots for implementation.
By anchoring reforms within national institutions and strengthening implementation capacity, the JLF is laying the foundation for sustained health system improvements – accelerating progress toward Universal Health Coverage and reinforcing JLN’s role as a global platform for peer learning and collective problem-solving.
IndonesiaClimate & HealthBuilding Climate-Resilient Health System for Sustainable National Health Security — Greening Initiatives on Climate Smart Adaptation Plan
- Strengthen knowledge and capacity to support climate change adaptation, resilience, and mitigation in the health sector. Report
- Generate policy insights through multi-stakeholder engagement and pilot learning to inform national climate and health planning.
- Strengthened health system resilience to climate-related health risks through coordinated multisectoral action.
- Implementation of green initiatives to protect vulnerable populations from climate-related health impacts.
- A series of multi-stakeholder consultations at national and sub-national levels, complemented by a pilot case study in selected health facilities.
- Policy brief “Strengthening Climate Resilient Health System in Indonesia” .
- National Workshop on Climate-Smart Health System Strengthening and Cross-Sectoral Support, in Jakarta on 13 Nov 2025
- Sub-national workshops on Climate & Health Systems in Bogor region (09 Dec 2025) and Yogyakarta region (10 Dec 2025).
PhilippinesPHC PerformancePilot Primary Health Care Performance Management Capacity and Network Building Towards a Quality and Resilient Local Health System
To address primary healthcare performance gaps, enhance data use, clarify roles and accountability, and establish a sustainable, integrated performance management system.
- Operational PHC-PM system tailored to local contexts, improved capacity of Local Government Units to measure and manage primary healthcare quality, enhanced alignment with quality standards, and informed decision-making for sustained health system resilience.
- Training in “Primary Health Care Performance Management Capacity and Network Building Towards a Quality and Resilient Local Health System” for healthcare providers across multiple levels of PHC service delivery in Agusan del Sur Province led by the Department of Health (DOH), and the local government unit (LGU).
- Actively applying skills from training in data use and analytics, quality improvement, leadership, communication, collaboration and problem-solving in their health facilities, translating learning into practice.
Training on “Primary Healthcare Performance Management Capacity and Network Building Towards a Quality and Resilient Local Health System”, for healthcare providers in Agusan del Sur Province, in Iloilo City (11–14 Nov 2025).
MongoliaPHC Performance Supporting the improvement of Mongolian primary health care through measuring key performance and changing the standard
Develop a context-appropriate primary healthcare performance evaluation framework and key performance indicators (KPIs) that reflect population needs, service delivery capacity, and realistic financing levels in Mongolia.
- Strengthened national capacity to measure and manage primary healthcare performance for equitable, efficient, and high-quality primary health care delivery across Mongolia.
- Better aligned primary healthcare financing, service packages, and population needs and policy options for revising accreditation, staffing, and infrastructure norms.
- Develop and pilot an evidence-based, systems-oriented primary healthcare performance framework that links inputs, service delivery processes, financing, and outcomes.
- Benchmarking assessments in four pilot facilities (urban family health centers and rural soum hospitals), to inform the design of standardized, efficient, and accredited PHC models to be scaled nationally.
LiberiaPHC Performance Strengthening Primary Health Care (PHC) Performance Management in the Southeastern and Western regions of Liberia
To develop a cadre of competent PHC managers with strengthened skills in data analysis, digital literacy, and performance monitoring to support evidence-based decision-making.
- Strengthen PHC performance management by improving managers’ ability to analyze and use data for planning, monitoring, and accountability.
- Enhanced data-driven decision-making at facility and county levels, improved implementation of Liberia’s PBF mechanism, and more effective PHC service delivery.
- Develop and validate training tools/modules for the pilot training (modules on computer operating systems, basics of data analytics, data visualization, quality improvement and group work/assignments).
- Structured capacity-building workshop for PHC managers to improve data use, analysis, and ownership among PHC managers.
- National level consultations to review (22 Nov 2025) and validate (28 Nov 2025) training modules.
- Hard skills performance management training of 24 Managers from primary health centres in six counties (8–12 Dec 2025).
EthiopiaHealth FinancingStrengthening provider payment methods for primary health care in Ethiopia
Evaluate how different provider payment mechanisms affect service delivery, provider behavior, and financial protection at the primary healthcare level.
- Inform policy reforms on strategic purchasing and blended provider payment mechanisms for primary healthcare.
- Improved analytical capacity among policymakers on the strengths and limitations of current payment models and clear pathways to link payments to performance, equity, and quality goals.
- Assess the current provider payment mechanisms to understand their impact on service delivery, efficiency, and financial sustainability in primary healthcare.
- Inception Meeting Report
South AfricaPHC PerformanceHard Skills Capacity Building for PHC Performance Managers in South Africa in Gauteng and Mpumalanga Provinces
Standardize and improve data operations, strengthen analytical and IT competencies, enhance monitoring and evaluation (M&E) capacity, and improve the use of performance data for decision-making and quality improvement in primary health care in South Africa.
- Strengthen PHC performance management by improving managerial competencies, data quality, and evidence-based decision-making at facility and district levels.
- In the medium term, contribute to improved quality of care, more accountable management practices, and stronger health system performance.
- Potential for scale-up across additional districts and provinces, supporting broader PHC strengthening and policy implementation in South Africa.
- Hard skills capacity-building training for Primary Health Care (PHC) managers, in Gauteng (Tshwane District) and in Mpumalanga (Nkangala District). Skill building includes data operations, data analytics and decision making.
NigeriaHealth FinancingAssessment and Monitoring of Provider Payment Methods for Health Insurance in Nigeria: Exploring policy options for reform
The initiative seeks to assess existing provider payment mechanisms, document their intended and unintended effects, and provide policymakers with robust, context-specific evidence to guide reform decisions.
- Inform national provider payment reforms by generating evidence-based policy recommendations aligned with quality and efficiency benchmarks.
- Strengthen stakeholder capacity — particularly at sub-national level — to assess and monitor provider payment systems, support more strategic purchasing under health insurance, and contribute to improved service delivery and resource use.
- Assessment, review and validation of provider payment methods (PPMs) within its health insurance system, focusing on capitation, fee-for-service, and the potential introduction of case-based payments (DRGs).
- Embedded desk reviews, stakeholder consultations, and empirical data analysis across six states.
- Meeting for dissemination of the findings.
MalaysiaHealth Financing & Integrated CareIntegrated care-coordinated networks provider payment and service delivery framework aligned with Malaysia Plan 2026
Develop an evidence-based, Malaysia-specific ICC implementation framework that operationalizes integrated care delivery with accountability for population health outcomes and value-based healthcare.
- Shift focus of funding on people’s health needs, supporting more coordinated and person-centered care for evolving health challenges.
- Integrate public and private providers through strategic purchasing, enabling value-based healthcare and scaling precision public health initiatives.
- Multiple policy design workshops for developing an Integrated Care Clusters (ICCs) Implementation Framework.
KenyaHealth Financing High level DRM for financing for primary health care in 2026/27
Develop a case for increased domestic financing for health by modelling revenue potential, shaping budget advocacy tools, and informing fiscal decision-making.
- Strong national and sub-national capacity for domestic resource mobilization and budget advocacy for sustainable and equitable financing of essential health services.
- Reduce reliance on donor funding and pursue tax-funded health reforms.
- Estimation of the domestic revenue generation potential.
- Multiple stakeholder consultations and high-level advocacy for positioning health as a national investment priority.
- Developing messaging and budget advocacy tools for DRM Implementation.
VietnamDigital Health & Health FinancingStrengthening Vietnam’s health insurance information system through JLN assessment standards
- Improve the health insurance information system to enhance the efficiency of health insurance fund management and support health insurance policy-making.
- Strong governance, accountability, and data-driven decision-making to improve efficiency and equity in the system and align with national health priorities.
- System assessment at central and provincial levels through a mixed methods study.
- Validate findings through stakeholder consultations to align with national priorities.
IndonesiaDigital HealthDigital Health — Transforming Access Through Telemedicine: A Leap Towards Inclusive Digital Health for JKN
- To improve equitable access to health services and support comprehensive UHC implementation by leveraging telemedicine.
- Strengthen telemedicine in diverse country contexts, particularly where geographic and resource constraints limit access to care.
- Stimulate technological innovation, including AI integration, and inform sustainable financing models for national health insurance.
- A consultation on telemedicine financing models and governance mechanisms to strengthen sustainable funding approaches.
- A consultation on cross-sectoral collaboration to enhance coordination between the Ministry of Health and BPJS.
- Capacity building workshop for improving the competence of health workers in telemedicine, strengthening digital literacy.
GhanaHealth FinancingReview of the Guidelines for the Management of the NHIS Benefit Package Using the JLN Health Benefit Package Revision Guide
Strengthen and standardize the review process of Ghana’s NHIS Benefit Package.
Strengthen the institutional governance mechanism for considering reviews of the standardized BP review process that is supported by available evidence.
- Stakeholder consultations to identify critical gaps in the existing process.
- Subsequent workshops for adapting relevant guidance to address these gaps and validating the revised guidelines.
- Dissemination of updated guidelines.
Lao PDRClimate & HealthStrengthening Climate‑Resilient and People‑Centered Health Systems in Lao PDR through Adaptation and Implementation of JLN Knowledge Products
To strengthen climate-resilient, equitable, and people-centered health systems in Lao PDR through structured multisectoral collaboration and implementation learning, contributing to progress toward Universal Health Coverage.
- Integrate this work into the Ministry of Health’s planning and budgeting cycles.
- Translating implementation learning into sustained health systems improvements.
- Convene multisectoral learning laboratories to co-design pilot approaches and the roadmaps for implementation.
- Pilot adapted tools in 1–2 climate-vulnerable provinces using iterative learning cycles with technical mentoring.
- Systematically document results to generate policy-relevant evidence and shared through national policy forums and JLN platforms.
Liberia, South Africa, and BangladeshContracting Joint Proposal — Contracting Implementation Learning Lab
The initiative aims to translate collaborative learning into action by implementing country-specific contracting priorities while generating implementation lessons for the wider JLN.
- Influence policy and program implementation by institutionalizing domestic contracting in Liberia, advancing legal and governance reforms in South Africa, and enabling practical service contracting and strategic purchasing in Bangladesh.
- Consultations to accelerate implementation of country-led contracting action plans developed under the JLN Contracting Collaborative.
- A global summit combining cross-country peer exchange with hands-on, technical assistance to advance government-led contracting of health services.
- Develop mini-case studies related to the contracting services in these countries.
Early Learning and Emerging Impact
Early experience indicates practical, country-driven insights on how JLF support accelerates health system reforms and implementation. Highlights the importance of strong country leadership, context-specific design, and sustained collaboration. These learnings help countries translate shared knowledge into actionable solutions tailored to their unique priorities.
Get Involved
Deliver Measurable Progress Toward Universal Health Coverage
Together, we can move from commitment to impact — strengthening health systems and expanding access to quality care for all. Investing in the Joint Learning Fund (JLF) partners directly enables practical, country-led solutions that transform shared learning into real policy change, stronger institutions, and measurable progress toward Universal Health Coverage.