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

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

6/7 The blog works through how each mechanism functions, why health has been left out, and what it would take to change that. 📖 Read it: p4h.world/en/from-bill... 📚 Glossary: p4h.world/app/uploads/...

p4h.world

From billions to balance sheets: where will the money for health actually come from: reducing risk and freeing up lending capacity for the MDBs - Part 2B - P4H Network

The P4H Network is the global network for social health protection and health financing

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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.

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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.

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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.

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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?

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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. 🧵

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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

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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.

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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%.

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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.

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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. 🧵

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

(7/7) Blended finance has a mixed record on scale, targeting and additionality, which is why transparency and alignment with equitable UHC principles matter. Read the full piece 🔗 p4h.world/en/designing... Follow along for more in this series. #BillionsToBalanceSheets

p4h.world

Designing Blended Finance: The Do’s and Don'ts for aspiring Health-System Fund Architects - Part 1 - P4H Network

The P4H Network is the global network for social health protection and health financing

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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.

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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.

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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.

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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.

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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.

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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.

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

(5/5) The authors: @kchalkidou and Rahul Singhal 🔗 p4h.world/en/newsroom/... Check our Glossary for definitions of the technical terms, abbreviations, and acronyms mentioned in this blog posts: p4h.world/app/uploads/... #HealthFinancing #UHC #BlendedFinance

p4h.world

Blog - P4H Network

The P4H Network is the global network for social health protection and health financing

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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.

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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?

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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.

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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.

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P4H Network @p4hnetwork.bsky.social · 16/12/2025

New report from P4H Network & @rarediseasesint.bsky.social on health financing and social health protection for rare diseases, building on a global webinar held 5 Nov. Missed it? Watch the full recording: www.youtube.com/watch?v=0mN-... #RareDiseases #HealthFinancing #UHC #GlobalHealth

youtube.com

Webinar on Health Financing & Social Health Protection for Rare Diseases

YouTube video by P4H Network

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

San Francisco’s lawsuit against ultra-processed food companies signals a shift in how health systems may fund the rising costs of chronic disease. As links to NCDs grow, governments are looking to recover health costs from commercial drivers healthpolicy-watch.news/us-city-sues... #HealthFinancing

healthpolicy-watch.news

US City Sues Ultra-Processed Food Companies, Seeking 'Restitution' For Health Costs - Health Policy Watch

The City of San Francisco has filed a historic lawsuit against 10 ultra-processed food (UPF) manufacturers, seeking “restitution and civil penalties" to help

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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...

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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

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

New op-ed warns 🇿🇦 ’s path to Universal Health Coverage risks being undermined by the financialisation of healthcare. Authors call for stronger public financing, primary care investment, transparency, and equity-focused use of private capacity. www.dailymaverick.co.za/article/2025... #NHI #UHC

dailymaverick.co.za

Financialisation is the last thing South Africa’s National Health Insurance needs | Daily Maverick

South Africa's National Health Insurance (NHI) aims to address healthcare inequities, but the rise of financialisation threatens its success. Treating health as an asset compromises universal health c...

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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

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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

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Reposted by P4H Network

UHC2030 @uhc2030.bsky.social · 04/12/2025

We're looking forward to the launch of the @WHO and @WorldBank "Tracking #UniversalHealthCoverage: 2025 Global Monitoring Report" next Monday! Will you join us? 📆 8 December 🕒 14:00–15:30 CET 🔗 Details to join here: www.universalhealthcoverageday.org/global-heatm...

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P4H Network @p4hnetwork.bsky.social · 06/12/2025

🇬🇧📢 UK Autumn Budget 2025: Key health updates 🏥 Up to 250 neighbourhood health centres (120 by 2030) via a new PPP model 💻 £300m for NHS tech 💷 Health & care budgets +2.4% (2025–29) 💊 Branded medicines spend +25% www.nhsconfed.org/publications... #HealthBudget #NHS #UK

nhsconfed.org

Autumn Budget 2025: what you need to know

Headline points for healthcare leaders from the 2025 Autumn Budget.

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P4H Network @p4hnetwork.bsky.social · 05/12/2025

WHO Africa and STATAFRIC are strengthening collaboration to improve how countries measure health spending and financial protection for UHC. Recent trainings in Accra and Dakar brought together 40+ countries to build skills in NHA and data analysis. p4h.world/en/news/part... #UHC #HealthFinancing

p4h.world

Partnership enhances Africa’s health accounts to advance UHC - P4H Network

The P4H Network is the global network for social health protection and health financing

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P4H Network @p4hnetwork.bsky.social · 04/12/2025

𝗔𝗣𝗘𝗖 economies are advancing efforts to close the 𝘄𝗼𝗺𝗲𝗻’𝘀 𝗵𝗲𝗮𝗹𝘁𝗵 𝗳𝗶𝗻𝗮𝗻𝗰𝗶𝗻𝗴 𝗴𝗮𝗽 after the Smart Families Workshop in Incheon. Progress toward a new Innovative Financing Framework highlights stronger cross-sector collaboration. p4h.world/en/news/apec... #WomensHealth #HealthFinancing

p4h.world

APEC advances collaborative agenda to close women’s health financing gaps - P4H Network

The P4H Network is the global network for social health protection and health financing

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P4H Network @p4hnetwork.bsky.social · 04/12/2025

New P4H blog: André Medici explores how episode-based payments can strengthen value-based care in Latin America, reducing costs and improving coordination. Insights from CLAVS 2025 and IBRAVS’ framework. p4h.world/en/episode-b... #HealthFinancing #ValueBasedCare

p4h.world

Episode-based Payments in Health – An innovative proposal for Health Plans at the CLAVS 25 congress - P4H Network

The P4H Network is the global network for social health protection and health financing

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

UHC High-level Forum takes place 6 Dec 2025 in Tokyo, hosted by Japan, @who.int & World Bank. The event will launch the UHC Knowledge Hub and feature the UHC Global Monitoring Report 2025, National Health Compacts & high-level discussions. 🔴 Livestream: youtube.com/live/j0jwIIY...

youtube.com

[English] UHC High-Level Forum 2025

YouTube video by 厚生労働省 / Ministry of Health, Labour and Welfare

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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

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P4H Network @p4hnetwork.bsky.social · 02/12/2025

La OPS/OMS avanza en su Iniciativa de Eliminación de Enfermedades, usando “Mejores Inversiones” para impulsar acciones costo-efectivas y respuestas integradas centradas en las personas en las Américas. Más aquí: p4h.world/es/documents... #SaludPública #OPS

p4h.world

Mejores inversiones para acelerar la eliminación de enfermedades en las Américas - P4H Network

Explore our collection of documents related to our organization's goals of promoting collaboration in social health protection and health financing. Our vision is to accelerate progress towards univer...

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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

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P4H Network @p4hnetwork.bsky.social · 29/11/2025

🇻🇳 Vietnam plans free annual health check-ups for all citizens starting 2026 under a proposal to boost preventive care and advance Resolution 72. The plan also raises insurance coverage for near-poor households and seniors 75+. Read more: p4h.world/en/news/viet... #HealthPolicy #VietnamHealth

p4h.world

Vietnam to add annual health checks to universal insurance benefits in 2026 - P4H Network

The P4H Network is the global network for social health protection and health financing

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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

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

📈 Korea’s Catastrophic Medical Expense Support Program is set to exceed ₩200B this year—a sixfold rise since 2019 driven by eased eligibility and higher demand. But support for non-severe diseases now surpasses severe cases, raising sustainability concerns. bit.ly/4p6KNwA #HealthPolicy #UHC

chosun.com

Catastrophic Medical Expense Support Program Reaches Record 200 Billion Won

Catastrophic Medical Expense Support Program Reaches Record 200 Billion Won Funds surge sixfold since 2019; critics highlight rise in non-severe disease support

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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

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P4H Network @p4hnetwork.bsky.social · 26/11/2025

🌍 New commentary highlights how LMICs overlook key cost drivers in UHC monitoring, transport expenses and time lost seeking care. These burdens hit poorer & rural households hardest. Authors call for better measurement, PHC investment & financing that covers non-medical costs. 🔗 bit.ly/4isC1qe

p4h.world

Time to fully account for cost in monitoring financial protection and universal health coverage in low- and middle-income settings - P4H Network

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P4H Network @p4hnetwork.bsky.social · 25/11/2025

📊 New Eurostat data shows big gaps in EU health spending. The EU spent €1.72T in 2023 (10% of GDP). Germany leads, while Luxembourg & Romania spend just 5.7%. Per-capita spending up 44% since 2014. More equity & sustainability needed. p4h.world/en/news/new-... #europe #healthexpenditure #data

p4h.world

New data highlights wide gaps in EU health expenditure - P4H Network

The P4H Network is the global network for social health protection and health financing

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P4H Network @p4hnetwork.bsky.social · 25/11/2025

🚩 New study: 𝘁𝗮𝘅 𝗲𝘅𝗽𝗲𝗻𝗱𝗶𝘁𝘂𝗿𝗲𝘀, special tax breaks that cut revenue, are linked to higher child & maternal mortality in 𝟱𝟱 𝗟𝗠𝗜𝗖𝘀 (2000–22). Stronger public financial management reduces the harm. Reforming wasteful tax breaks can boost budget space for health. bit.ly/43MC8qy @oupprimary.bsky.social

p4h.world

Expanding budget space to improve health outcomes in low- and middle-income countries: what role for tax expenditures? - P4H Network

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P4H Network @p4hnetwork.bsky.social · 24/11/2025

New 𝗢𝗗𝗜 𝗿𝗲𝗽𝗼𝗿𝘁 explores how ministries of finance can boost health spending efficiency as 𝗟𝗠𝗜𝗖𝘀 𝘀𝗽𝗲𝗻𝗱 $𝟱𝟲 𝗽𝗲𝗿 𝗰𝗮𝗽𝗶𝘁𝗮 and LICs under $10. It outlines 10 ways to strengthen budgeting, execution, procurement, decentralisation & digital systems. p4h.world/en/documents... #HealthFinancing #PFM

p4h.world

What can a ministry of finance do to improve health spending? - P4H Network

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P4H Network @p4hnetwork.bsky.social · 24/11/2025

🇳🇬Africa CDC spotlights Nigeria as a continental model for health reform. At the 2025 Joint Annual Review, DG Jean Kaseya praised Nigeria’s leadership in integrated health financing, UHC, and local production. guardian.ng/features/hea... #P4HNetwork #HealthFinancing

guardian.ng

Africa CDC hails Nigeria's health reform model

Africa CDC has emphasised that Nigeria will be among the few pilot countries for integrated health financing under the G20 partnership

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