BMZ Health Sector Strategy
(Health Division)
Framework, principles and thematic areas
of German Development Aid for Health
Dr A Stadler – Senior Advisor GTZ Health Section
February 2009
22.03.2016
Seite 1
Introduction
BMZ Health Sector Strategy:
• Conceptual framework for the German
Development Aid for Health
• Framework for programme and project type
support
• Guidelines for cooperation with partner
countries and organisations
• Information tools for the public
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Seite 2
Introduction (2)
Health is mainly determined by:
• Effective preventive and curative health
services, health promotion, and rehabilitation
• Healthy living conditions, such as water,
housing, nutrition, education
• Peace, security and social and economic equity
The current BMZ Health Sector Strategy deals
mainly with elements related to health promotion
and health services
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Seite 3
Health Systems
• All organizations, institutions and
resources in a country dealing with
health
• Public and private sector
• Promotional, preventive, curative and
rehabilitative measures
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Seite 4
Health Systems (2)
• Services to be needs-orientated,
equally distributed (coverage) and
accessible for all
• Performance depends on
– available resources (finance, human resources
and infrastructure)
– governance (respect of human rights, corruption,
rights of beneficiaries, support)
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Seite 5
Some Essential Components of Primary
Health Care (PHC)
•
•
•
•
•
Equitable distribution
Community participation
Inter-sectoral cooperation
Appropriate technology
Availability of support mechanisms
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Main thematic areas of BMZ Strategy
Health System Strengthening:
• Decentralised organization, respect of good
governance principles and human rights
• Sustainable health system financing and social
protection in health
• Capacity development for planning and
management, training and research
• Human resources for health
• Infrastructure and technologies
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Main thematic areas of BMZ Strategy (2)
Health System Strengthening (2):
• Poverty alleviation through extension of PHC
coverage
• Quality and equity through support to different
levels of health system organization - Focus on
“horizontal” approaches and on the “district
health concept”
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Main thematic areas of BMZ Strategy (3)
Disease Control:
• Support to specific or disease targeted actions
via national (bilateral) or via global (multilateral)
programmes
• Vertical organization only if appropriate, focus
on integration / systemic approach
• AIDS, Malaria, Polio and other Neglected
Diseases
• Support to research (but mainly through other
Ministries)
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Seite 9
Main thematic areas of BMZ Strategy (4)
Fight against HIV/AIDS (cross-cutting issue):
• Special focus of German development aid
• Disease control (prevention, diagnostic, treatment,
research)
• Social and psychological support
• Target group specific activities with focus on
protection of women and children
• Mainstreaming HIV into all relevant sectors of
German Development Cooperation
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Seite 10
Main thematic areas of BMZ Strategy (5)
Sexual and Reproductive Health and Rights:
• Special focus of German development aid
• Family planning, prevention of STI
• Safe motherhood (including safe abortions)
• Empowerment of young women and girls /
sexual education
• Activities related to harm reduction and postcare (including FGM)
• Mainstreaming SRHR into all relevant sectors of
German Development Cooperation
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Seite 11
Core Principles
“Health as a Human Right” based approach:
• Core elements of this approach:
– Equity in access to and quality of
• Health services
• Health information
• Healthy living conditions
for poor and other marginalised groups
– Essential part of poverty reduction strategy
• BMZ supports health system approaches
focussing on these core elements
• Governments have the duty to enable the right
to health for their people
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Instruments for Implementation (1)
Bilateral Instruments:
• Financial Cooperation
• Technical Cooperation
–
–
–
–
Technical Assistance
Temporary Staff Secondments / Substitution
Voluntary Service (Public, Faith-based organizations)
Capacity Development (Universities, Development
Agencies, Private Sector…)
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Instruments for Implementation (2)
Multilateral Instruments:
• Financial support to international
organizations and Global Health
Institutions and Initiatives (e.g. IHP, P4H)
Support of DAC-Criteria like:
• Increase of PBA, SWAp-support, Sectoral
and General Budget Support, Basket
support, Pooling arrangements
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Seite 14
Strategies for Implementation (1)
Cross-Cutting Approaches:
• Health as Human Right
• Focus on inter-sectoral cooperation and mainstreaming of
health related activities (e.g. HIV/AIDS, Health of
Children, SRHR) into other sectors (e.g. water, education,
civil sector development, decentralisation)
• PHC strategy as essential part of health system
development including disease control aspects
Private Sector Support:
• Activities implemented through NGOs and faith-based
organizations
• Activities implemented and co-financed through private
business (PPP)
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Seite 15
Facts and figures on German Cooperation in
Health (1)
• Actually 17 priority countries of cooperation in the
health sector – 7 in SSA
• Health related activities in about 58 countries – 21 in
SSA
• Major input on different aspects and different levels
of health system strengthening in about 30 countries
– 15 in SSA
– But health system strengthening and PHC part of almost all
integrated approaches (including those with a focus on
HIV/AIDS, SRHR or Social Protection)
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Facts and figures on German Cooperation in Health (2)
Development of the German Bilateral ODA in Health (in Million Euro)
* without HIV/AIDS, SRHR and Social Protection
2005
2006
2007
Total
7208,9
6890,3
6827,0
Social
Infrastructure
and Services
1985,9
(27,5%)
2250,6
(32,7%)
2399,0
(35,1%)
117,5
68,6
131,3
67,5
156,3
93,6
Health*
Basic Health
Systems / PHC
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Seite 17
Thank you!
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Seite 18