iiinova — where your digital self keeps evolving

P4H Network @p4hnetwork.bsky.social · 30/09/2026

7/7 Next: Part 2C, on how MDBs can raise genuinely new equity capital — not just free up existing room. #BillionsToBalanceSheets #HealthFinancing #UHC #BlendedFinance

000

P4H Network @p4hnetwork.bsky.social · 30/09/2026

5/7 How: → Insurance on existing loans → Loan-swapping between regional banks → Guarantees from donor governments Billions unlocked this way — mostly for climate and infrastructure.

100

P4H Network @p4hnetwork.bsky.social · 30/09/2026

4/7 MDBs raise money easily. Their AAA credit rating is the asset worth protecting, and it shapes how much they can lend. So instead of raising new funds, they free up room to lend by shedding risk on loans already on their books.

100

P4H Network @p4hnetwork.bsky.social · 30/09/2026

3/7 @kchalkidou & Rahul Singhal propose multilateral development banks (MDBs) are the only actors with balance sheets deep enough, between them, to close a health financing gap this size.

100

P4H Network @p4hnetwork.bsky.social · 30/09/2026

2/7 Our last blog explored why most institutional capital - pension funds, insurance, central bank reserves, is hard to mobilise for health. This instalment takes it forward: if that capital can't move at scale, who can?

100

P4H Network @p4hnetwork.bsky.social · 30/09/2026

1/7 Development banks have freed up billions in new lending capacity in recent years. Almost none of it has gone to health. Part 2B of the P4H series on financing health systems in the age of the aid retreat. 🧵

100

P4H Network @p4hnetwork.bsky.social · 23/09/2026

(5/5) Which brings us to development banks — next up in the series. Watch this space. 📖 Read the blog: p4h.world/en/from-bill... 📚 Glossary of terms: p4h.world/app/uploads/... Stay tuned for the next in the series! #BillionsToBalanceSheets #HealthFinancing #UHC

000

P4H Network @p4hnetwork.bsky.social · 23/09/2026

(4/5) The obstacles aren't legal — they're practical: whose money it is, how fast it must be available, what it protects against, who has the expertise to judge the risk. Remittances add ~$56bn/year to sub-Saharan Africa — but that's household transfers, not an investable instrument.

100

P4H Network @p4hnetwork.bsky.social · 23/09/2026

(3/5) The most-cited fix: raise statutory ceilings on where pension funds can invest. In the largest markets, those ceilings are already generous and sit largely unused. Ghana permits up to 25% of pension assets in alternatives. Actual allocation: 0.58%.

100

P4H Network @p4hnetwork.bsky.social · 23/09/2026

(2/5) In this instalment, Kalipso Chalkidou & Rahul Singhal work through Africa's capital pools. Central bank reserves: held abroad. Most sovereign wealth funds: invested overseas. Set aside South Africa and the wealthier North African economies — roughly $250bn remains.

100

P4H Network @p4hnetwork.bsky.social · 23/09/2026

(1/5) Africa's institutional capital is routinely cited at $2 trillion. The figure within reach of the countries that need it most is closer to $250 billion. P4H's series on financing health in the age of the aid retreat asks where the money actually sits and who's best placed to move it. 🧵

100

P4H Network @p4hnetwork.bsky.social · 21/09/2026

(6/7) Step 5: Deal with risk from the start. Credit risk for start-up manufacturing in developing markets is genuinely hard to assess. Guarantees, first-loss facilities and transparent governance separate a fund that closes from a concept note that circulates for years.

100

P4H Network @p4hnetwork.bsky.social · 21/09/2026

(5/7) Step 4: Build in independence. How do you stop a politically anchored fund being steered by individual state interests? Decide upfront where the balance sits: political mandate, or duty to investors.

100

P4H Network @p4hnetwork.bsky.social · 21/09/2026

(4/7) Step 3: Match the money to the thing it's funding. A factory with years to revenue can't service debt due long before it earns, so lock in buyers through pooled procurement first, and the manufacturing becomes investable.

100

P4H Network @p4hnetwork.bsky.social · 21/09/2026

(3/7) Step 2: Raise the money in the right order, from the right people. Donors take first-loss with no strings, development banks absorb the middle risk, private capital takes the safest slice at market terms.

110

P4H Network @p4hnetwork.bsky.social · 21/09/2026

(2/7) A new @P4Hnetwork blog sets out 5 steps to design a blended finance mechanism for UHC. Step 1: Decide the rules before the design. Past funds spread too thin to matter, this one's betting on concentration over diversification, at a scale investors will actually notice.

110

P4H Network @p4hnetwork.bsky.social · 21/09/2026

(1/7) Five steps to designing a blended finance fund for health. Part 1 of P4H's series on financing health systems in the age of the aid retreat.

100

P4H Network @p4hnetwork.bsky.social · 18/09/2026

(4/5) Wrong financing can distort priorities, entrench out-of-pocket spending, divert grant funding. This series explores what a practical, UHC-focused guide to blended finance for health systems could look like.

210

P4H Network @p4hnetwork.bsky.social · 18/09/2026

(3/5) The series asks: → How do we design blended finance for health without repeating past failures? → Where is the money held, and how much can genuinely move? → Which instruments have already unlocked capital at scale?

100

P4H Network @p4hnetwork.bsky.social · 18/09/2026

(2/5) Much of that conversation rests on large figures for capital that exists — not capital that can actually be invested. Over the coming weeks, @P4Hnetwork is publishing a 5-part series from WHO's Performance, Financing and Delivery dept on financing health in the "aid retreat" era.

110

P4H Network @p4hnetwork.bsky.social · 18/09/2026

(1/5) Where will the money for health actually come from? DAC funding fell >23% in 2025 - health funding potentially down 40%+. Governments are now scoping blended funds, debt swaps, and development bank balance sheets to reimagine health financing.

100

P4H Network @p4hnetwork.bsky.social · 11/12/2025

Check out new analysis by @edwinebarasa.bsky.social et al. Warns that as donor funding declines, many LMICs are adopting shifting costs to households, over-reliance on insurance, sidelining PHC, and weakening community health threaten equity and UHC progress. 🔗 gh.bmj.com/content/10/1...

022

P4H Network @p4hnetwork.bsky.social · 09/12/2025

🎉 𝗧𝗵𝗲 𝗣𝟰𝗛 𝗡𝗲𝘁𝘄𝗼𝗿𝗸 𝗹𝗮𝘂𝗻𝗰𝗵𝗲𝘀 𝗶𝘁𝘀 𝟮𝟬𝟮𝟰–𝟮𝟬𝟮𝟱 𝗔𝗻𝗻𝘂𝗮𝗹 𝗥𝗲𝗽𝗼𝗿𝘁! Highlights include engagement in 40 countries, support to Chad’s AMED, reviews in Lao PDR, financing pilots in Madagascar, and major digital growth. 🔗 Full report: p4h.world #P4HNetwork #UHC #GlobalHealth #HealthFinancing #SHP

000

P4H Network @p4hnetwork.bsky.social · 08/12/2025

🚩 New on the #MontreuxCollaborative Blog! Ghana’s digital public financial management reforms offer key lessons for health systems. The Ghana Health Service built flexible tools like PBMIS, GhiLMIS & e-Transactions to meet real-time needs. www.pfm4health.net/blog/digital... #PFM #HealthSystems

000

P4H Network @p4hnetwork.bsky.social · 08/12/2025

𝗛𝗮𝗽𝗽𝗲𝗻𝗶𝗻𝗴 𝘁𝗼𝗱𝗮𝘆 - 𝗗𝗼𝗻'𝘁 𝗺𝗶𝘀𝘀 𝗶𝘁! Join the launch of the 2025 Global Monitoring Report on Universal Health Coverage with @who.int, World Bank and @uhc2030.bsky.social 📅 Dec 8 | 🕗 8–9:30am EST / 14–15:30 CET 🔗 Zoom: ID 986 9474 5632 | Passcode .W1MJT=@r3 Interpretation in FR/ES/AR. #UHC #FinProtc

000

P4H Network @p4hnetwork.bsky.social · 03/12/2025

At the #MontreuxCollaborative in Geneva, the session on decentralization highlighted that subnational governments manage major health spending. Roles vary across countries, but strong national–local coordination is essential for effective #PHC and better #PFM for health. @who.int #HealthForAll

000

P4H Network @p4hnetwork.bsky.social · 01/12/2025

WHO has released new global health expenditure data for 190+ countries (2000–2023), along with updated dashboards and documentation. Explore the resources here: apps.who.int/nha/database... apps.who.int/nha/database... apps.who.int/nha/database... apps.who.int/nha/database... #GlobalHealth #UHC

000

P4H Network @p4hnetwork.bsky.social · 28/11/2025

🇵🇭 PhilHealth aims to cut Filipinos’ out-of-pocket health spending from 44.7% to 25–30% by 2028, requiring higher gov’t health spending and bigger investments in primary care. Total health spending hit ₱1.4T in 2024, yet households still bear much of the cost. bit.ly/4ahTgYY #UHC #HealthFinancing

000

P4H Network @p4hnetwork.bsky.social · 27/11/2025

🔴 New study shows major Global Health Initiatives in Pakistan aren’t well aligned with UHC or PHC planning. Parallel grants, weak accountability & limited sustainability pose challenges. Authors call for integration, shared power & stronger domestic financing. bit.ly/4rpotQg #UHC #GlobalHealth

000

P4H Network @p4hnetwork.bsky.social · 20/11/2025

La OPS publica su informe 2025 sobre APS en Sudamérica, analizando cómo 9 países reorganizan sus sistemas y avanzan hacia modelos centrados en las personas. Un recurso clave para fortalecer la equidad en salud. 🔗 iris.paho.org/bitstream/ha... #APS #SaludPública #OPS #SistemasDeSalud

000

P4H Network @p4hnetwork.bsky.social · 06/11/2025

🚨 New WHO Guidance on Global Health Financing Cuts WHO’s new guidance — ““𝗥𝗲𝘀𝗽𝗼𝗻𝗱𝗶𝗻𝗴 𝘁𝗼 𝘁𝗵𝗲 𝗵𝗲𝗮𝗹𝘁𝗵 𝗳𝗶𝗻𝗮𝗻𝗰𝗶𝗻𝗴 𝗲𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆” — outlines urgent steps to protect budgets, improve efficiency, and sustain health systems. bit.ly/4nIXCeZ #HealthFinancing #UHC #GlobalHealth #WHO #Resilience #HealthSystems

000

P4H Network @p4hnetwork.bsky.social · 04/11/2025

💡 𝗣𝗠𝗡𝗖𝗛 𝗪𝗲𝗯𝗶𝗻𝗮𝗿: Innovative & Sustainable Financing of Sexual and Reproductive Health Rights — part of the Advocacy Forward Workshop Series. 🗓️ 12 Nov 2025 | 🕓 14:00–16:00 CET | 💻 Zoom 🔗 who.zoom.us/webinar/regi... #SRHR #HealthFinancing #Advocacy #GlobalHealth @pmnch.bsky.social

000

P4H Network @p4hnetwork.bsky.social · 03/11/2025

🎙️ 𝗠𝗲𝗲𝘁 𝘁𝗵𝗲 𝗦𝗽𝗲𝗮𝗸𝗲𝗿𝘀! | Join the P4H Network, @rarediseasesint.bsky.social, and the @who.int for an insightful webinar on 𝗛𝗲𝗮𝗹𝘁𝗵 𝗙𝗶𝗻𝗮𝗻𝗰𝗶𝗻𝗴 & 𝗦𝗼𝗰𝗶𝗮𝗹 𝗛𝗲𝗮𝗹𝘁𝗵 𝗣𝗿𝗼𝘁𝗲𝗰𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗥𝗮𝗿𝗲 𝗗𝗶𝘀𝗲𝗮𝘀𝗲𝘀. 🗓 5 November 🕒 14:00–16:00 CET 💻 Online events.teams.microsoft.com/event/36bd06... #RareDiseases #HealthFinancing

000

P4H Network @p4hnetwork.bsky.social · 30/10/2025

A new @who.int Montreux Collaborative & CGD blog introduces a framework linking PFM, health financing & supply chains to tackle inefficiencies, leaving 1 in 4 without essential medicines Read more 👉 bit.ly/47rgYPC Join the 7th Montreux Collaborative Forum (1–5 Dec) 👉 bit.ly/3LfCsaG #PFM #Montreux

000

P4H Network @p4hnetwork.bsky.social · 29/10/2025

🚩 Reminder: Join @rarediseasesint.bsky.social, P4H Network & @who.int for a webinar on Health Financing & Social Health Protection for Rare Diseases 🗓 5 Nov 2025 | 🕒 14:00–16:00 CET | 💻 Online Register 👉 events.teams.microsoft.com/event/36bd06... #RareDiseases #UHC #HealthFinancing #GlobalHealth

000

P4H Network @p4hnetwork.bsky.social · 26/10/2025

🇲🇽 𝗠𝗲́𝘅𝗶𝗰𝗼 𝗶𝗺𝗽𝘂𝗹𝘀𝗮 𝗹𝗼𝘀 “𝗜𝗺𝗽𝘂𝗲𝘀𝘁𝗼𝘀 𝗦𝗮𝗹𝘂𝗱𝗮𝗯𝗹𝗲𝘀” 𝗽𝗮𝗿𝗮 𝗺𝗲𝗷𝗼𝗿𝗮𝗿 𝗹𝗮 𝘀𝗮𝗹𝘂𝗱 𝗽𝘂́𝗯𝗹𝗶𝗰𝗮 El INSP y el CINyS lideran una coalición de +1,000 profesionales que respaldan mayores impuestos a bebidas azucaradas y alimentos ultraprocesados para reducir enfermedades y promover la equidad insp.mx/ImpuestosSal... #SinTax

000

P4H Network @p4hnetwork.bsky.social · 18/10/2025

🌍 The P4H Academic Group met yesterday at Fudan University School of Public Health 🇨🇳 to advance collaboration on social health protection and health financing reforms. Grateful to our hosts and members for inspiring discussions! Watch this space for more! #P4H #GlobalHealth #FudanUniversity

000

P4H Network @p4hnetwork.bsky.social · 16/10/2025

At #WHS2025, we hosted a side event on Partnering for Efficiency: Strengthening Collaboration in Health Financing & Digital Health with support from GIZ, BMZ and SDC on how partnerships & open tools like openIMIS advance sustainable HF reforms. #HealthFinancing #DigitalHealth #P4HNetwork #WHS2025

000

P4H Network @p4hnetwork.bsky.social · 14/10/2025

BLOG: Financing for Future Pandemics – Three Strategic Shifts We Need Now 🌍 The Pandemic Treaty is a chance to reshape how the world funds prevention, preparedness & response. By @cgdev.org now on P4H Network 🔗 p4h.world/en/financing... #PPPR #HealthFinancing #CGD #PandemicTreaty #P4HNetwork

000

P4H Network @p4hnetwork.bsky.social · 10/10/2025

KENYA🇰🇪 New research in BMC Health Services Research shows Kenya’s UHC success hinges on smart, transparent public financial management—not just more funding 🔗 p4h.world/en/documents... #Kenya #UHC #PFM #HealthFinancing #PublicHealth #Sustainability

010

P4H Network @p4hnetwork.bsky.social · 09/10/2025

Students from @tcddublin.bsky.social's Global Health & Global Mental Health MScs joined a seminar on the #P4HNetwork with Christine Ortiz, exploring health financing & #UHC progress. A great exchange on advancing #SDG3.8.2 through global collaboration. 🔗 p4h.world #GlobalHealth #Dublin #Trinity

000

P4H Network @p4hnetwork.bsky.social · 08/10/2025

📅 Tomorrow! Join AFD & SOCIEUX+ for “How to Design Equitable Social Protection in Health?” — exploring universal health protection in Sub-Saharan Africa. 🕑 9 Oct | 14:15–15:45 (Paris) 📍 Paris & online: conference.visio.afd.fr/listener/?fb... #SocialProtection #HealthEquity #UHC #SOCIEUXplus #AFD

000

P4H Network @p4hnetwork.bsky.social · 07/10/2025

Join us at the World Health Summit 2025 side event in Berlin on Oct 14 -Partnering for Efficiency: Strengthening Collaboration in Health Financing & Digital Health Co-hosted by OpenIMIS, P4H, GIZ, @bmz.de & SDC. 🌍 🔗 bit.ly/3J0Iw6b #WHS2025 #P4HNetwork #HealthFinancing #DigitalHealth #GlobalHealth

000

P4H Network @p4hnetwork.bsky.social · 06/10/2025

🇹🇩 Le Tchad lance le Régime d’Assistance Médicale (AMED) pour les plus démunis ! Avec @CNAS, P4H Network et l’OMS, cette initiative pilote dans 3 districts renforce la santé pour tous. 🔗 p4h.world/fr/news/pris... #Tchad #SantéPourTous #ProtectionSociale

000

P4H Network @p4hnetwork.bsky.social · 06/10/2025

🇵🇰 An insightful Scientia Magazine article by Yasir Ahmad explores Pakistan’s struggle for equitable healthcare. With <1% of GDP spent on public health, families still face crushing costs despite programs like Sehat Sahulat. bit.ly/48NjCkS #Pakistan #Healthcare #UHC #PublicHealth #HealthForAll

020

P4H Network @p4hnetwork.bsky.social · 03/10/2025

💡 Can health taxes help fix Cameroon’s health budget gap? Taxes on tobacco & sugary drinks could both fund universal health coverage ✅ & reduce costly NCDs ✅. Full article 👉 p4h.world/fr/news/taxe... #HealthFinancing #Cameroon #PublicHealth

000

P4H Network @p4hnetwork.bsky.social · 03/10/2025

🌎 Smart Spending in Health: Making Every Peso Count. To ensure equitable healthcare in Latin America & the Caribbean, we need more than higher budgets—we need smarter investments. 📖 Read the IDB report: p4h.world/en/documents... #HealthSystems #PublicHealth #P4H

000

P4H Network @p4hnetwork.bsky.social · 02/10/2025

INDIA: Nearly 45% of families with differently abled children in Puducherry face catastrophic health costs, often relying on distress financing. Urgent reforms are needed for equity & #UHC. 📖 p4h.world/en/documents... #Disability #GlobalHealth #HealthEquity

000

P4H Network @p4hnetwork.bsky.social · 02/10/2025

📣 Save the Date! Join @rarediseasesint, @P4HNetwork & @WHO for a webinar on strengthening health financing & social protection for people with #RareDiseases. 🗓 5 Nov | 🕒 14:00–16:00 CET | 💻 Online 👉 Register: events.teams.microsoft.com/event/36bd06... #UHC #GlobalHealth

000

P4H Network @p4hnetwork.bsky.social · 24/09/2025

En Panamá, el MINSA pidió B/.3,887 millones para 2026, pero el MEF recomendó B/.3,445 millones. El recorte de B/.442 millones podría afectar plazas, medicamentos y subsidios clave para el sistema de salud. p4h.world/es/news/la-a... #Panamá #SaludPública #Presupuesto2026

000