Health and

the Grand

Bargain

Aiman Zarul

HUMANITARIAN POLICY AND

GUIDANCE (HPG), WHE, HQ

Sections of this

presentation

What is the Grand

Bargain? 1

How does it affect the

health sector? 2

Key things to know

for 2018-2019 3

What is the Grand Bargain?

A “Bargain”

Idea: aid organisations will improve effectiveness and

efficiency, donors will increase multilateral, non-/lightly

earmarked funding.

First of its kind The only agreement to bring

donors and humanitarian actors (UN, NGOs, Red Cross) together.

59 signatories (July 2018), but light institutional footprint.

Thematic Covers the most important

issues in humanitarian assistance – needs assessments,

cash, donor earmarking and multi-year funding/planning

Launched in 2016 at the

World Humanitarian

Summit

WHO joined the Grand Bargain in

April 2018

Structure of the Grand Bargain

Eminent Person

Facilitation Group

Workstream co-convenors

Signatory Sherpas

Signatory technical focal points

COORDINATION

Po

litical

Tech

nical

1. Transparency

10. Humanitarian-Development Nexus

3. Cash

4. Management costs

5. Joint needs assessments

6. Participation revolution

7. Multi-year planning/funding

8. Reduced earmarking

9. Harmonised reporting

2. Localisation

WORK STREAMS

The Health Sector and the Grand Bargain

• Efficiency gains

• Linkages to the UN Reform Agenda (Peace and Security, UN

Development System reform)

• Donors increasingly conditioning funding on showing

progress in meeting GB commitments.

• “Costs of non-participation”: perception and reputational

risks – “being left out”

The Grand Bargain matters for the Health

Sector

• “Efficiency”-focused work streams vs “Programmatic” work

streams

• “Efficiency” WSs – challenges common to all

• Programmatic WSs – will impact health services delivery

• Cash, joint needs assessments and localization, HDN

Specificity of the Health Sector vs “One size fits

all” approach

BUT…

Cash in the Grand Bargain

Work stream 3: Co-convened by the UK and WFP.

First GB Cash Work Stream Workshop (June 2017): 6 priority action points: • Measuring cash • Donor coordination • Cash coordination • Measuring Value for Money • Measuring Risk • Mapping cash work

Second GB Cash WS Workshop (June 2018): • Cash vs vouchers/MPC vs

sector specific cash transfers • Cash coordination • Cash and Gender

Second Independent Grand Bargain Report (2018): • Best performing WS in 2017 • 89% signatories using cash • BUT lack of capacity • Need for stronger gender focus

What to expect in 2019

TAKING THE GB TO THE FIELD

Prioritising commitments – cash, needs assessments, localization

Merging work streams

Country Pilots

Mainstreaming HDN across the Grand

Bargain

More linkages with the IASC – reduce

duplication

Thank you