Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 14311
Country/Region: Ethiopia
Year: 2013
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $0

This project will provide TA to increase utilization and decrease the repayment default of the Development Credit Authority (DCA) loan guarantee (Ahmara, Oromia, SSNPR, Addis Ababa, Dire Dawa). The loan guarantee focuses on private health care providers in towns and cities with high HIV and TB caseloads. The loans must be used to improve the quality of essential health, including HIV and TB services. Potential uses of the loan include improving lab facilities for TB and HIV screening (e.g., purchasing diagnostic equipment and reagents); materials for TB and HIV care and treatment; renovations to decrease facility-based infections; and improving communication and recording systems. Potential uses of the loans might impact the delivery of health services beyond HIV and TB, but any investments must have a demonstrable link to improving HIV services. The TA will include both support for banks in marketing and monitoring loans to the health sector and strengthening the capacity of health sector borrowers to access and manage credit. This is aligned with the PF Goal 4: response to intensify involvement of civil society and the private sector and the GHI strategy: Health Financing to develop innovative financing approaches. Activities will include TA for banks in tailoring new financial products for the health sector, credit capacity assessment of health sector businesses and marketing loan products to the health sector. The project will organize trade fairs to improve market linkages for providers and improve awareness about the loan program. TA also will train health care providers in accessing finance, developing a business plan, improving accounting and using information-technology. This project will be utilizing previous year funds for the described activities.

Funding for Health Systems Strengthening (OHSS): $0

To increase market access to health financial mechanisms for the health care sector this project will provide TA to increase the utilization of the Development Credit Authority (DCA) loan portfolio guarantee by financial institutions. This will include strengthening the capacity of health sector borrowers to access and manage credit and market linkages. Strengthening the partner banks' capacity ability to market and package finance packages to the health sector will address access barriers. Activities will include:1) Training for lending staff in partner banks on determining the health services offered by collaborating health facilities including through the use of standardized checklists; 2) TA for banks in tailoring and/or developing new financial products for the health sector; 3) Development of training modules for marketing/loan officers at the branch level for credit capacity assessment of health sector businesses and promotion of financial services; 4) TA for banks to market loan products to the health sector; 5) Institution of linkages between banks and key players in the health sector (private provider associations, private insurance companies, etc.) to improve dialogue and trust and increase outreach and appropriateness of financial products; and 6) Organization of health sector trade fairs to improve market linkages for providers and ensure that borrowers in outlying districts are aware about the financial services offered by banks and other guaranteed parties. In addition, the project will design training sessions for health care providers in accessing finances, developing a business plan for growth. These trainings will be offered in partnership with professional associations, training firms and financial institutions and closely coordinated with modules addressing clinical and quality of care topics that the IP will also offer. Finally, a business development program for small-scale health practices to access individualized/specialized support in accounting, business planning, information-technology platforms will be instituted.

Subpartners Total: $0
Banyan Global: NA
Key Issues Identified in Mechanism
Safe Motherhood
Tuberculosis
Family Planning