Active Collaborative : Domestic Resource Mobilization

Purpose

The Domestic Resource Mobilization Collaborative brings countries together to address shared challenges in mobilizing domestic resources for health as they work to achieve universal health coverage. By exploring ways to mobilize domestic resources for health, countries can decrease the health sectors’ reliance on external aid and out-of-pocket funding, which can have large positive impacts on the sustainability, equity and efficiency dimensions of UHC. It promotes a shared understanding among finance and health policymakers on how to expand fiscal space for health through various domestic resource mobilization policy options, such as reprioritization, while strengthening recognition of the competing demands and opportunity costs countries face as they mobilize domestic resources during periods of both economic growth and setback

Expected Outcomes

The collaborative provides a platform for practitioners to exchange knowledge, adapt evidence-based tools, engage in policy dialogue, and strengthen strategies that reduce reliance on external aid and out-of-pocket spending, helping build more sustainable, equitable, and efficient health financing systems. The collaborative has generated cross-country knowledge exchanges, webinars, and co-created practical tools—including a messaging guide on domestic resource mobilization with evidence-based arguments for policymakers to make the case for investment in health, a policy dialogue toolkit, and narrative summaries that include evidence-based historical budgetary trend analysis for nine countries, and an inventory of global resources and efforts in domestic resource mobilization.

19 Participating Member Countries

🇧🇩 Bangladesh, 🇰🇭 Cambodia, 🇨🇲 Cameroon, 🇨🇮 Côte d’Ivoire, 🇪🇹 Ethiopia, 🇬🇭 Ghana, 🇮🇳 India, 🇮🇩 Indonesia, 🇰🇪 Kenya, 🇱🇦 Lao PDR, 🇲🇾 Malaysia, 🇲🇳 Mongoli

Progress

  • In phase I (2017-2020), The World Bank and the GFF partnered to create technical content, provide strategic guidance and review, facilitate discussions, and share cross-country knowledge and expertise on domestic resource mobilization for health. 
  • In phase II (2020-present), the collaborative, with support from the GF, is helping member countries adapt and implement knowledge products through a community of practice. (Click here for more information about the community of practice – sign-in is required).

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World Bank

Ajay Tandon , Senior Economist

Ellen van De Poel , Senior Health Economist

Sven Neelsen , Health Economist

Jakub Jan Kakietek , Senior Economist

Maria Eugenia Bonilla-Chacin , Lead Economist

Patrick Hoang-Vu Eozenou , Senior Economist

Vrishali Shekhar , Health Financing Specialist

Lauren Oliveira Hashiguchi , Consultant

Mahlet Gizaw , JLN Health Specialist

Somil Nagpal , Lead Health Specialist

Aditi Nigam , Consultant

The Global Financing Facility for Women, Children, and Adolescents (GFF) and The Global Fund (GF) also supported the work of this collaborative.

Tools and Resources