Since 2012, maternal and infant mortality rates in Guinea have fallen by 24 and 34 percent respectively. Despite this progress, children under five bear 72 percent of the total disease burden, largely due to preventable causes such as malaria, other infectious diseases, neonatal disorders and malnutrition. Coverage rates of essential health and nutrition services also remain low due to financial barriers and low availability and quality of public primary care in rural areas. Although the Government of Guinea has adopted a policy of free services to increase access to primary and secondary care, 63 percent of total health expenditures are still shouldered by households.
The GFF Partnership Response
The GFF partnership supports the Government of Guinea which led the development of its investment case, focusing on health financing featuring selected health system reforms and a high impact health and nutrition packages that aligned with the National Health Development Plan 2015-2024, to ensure key stakeholders share a common vision on how to move to greater accountability and strengthen the link between finance and service delivery. It also includes a Theory of Change and a Results Framework to strengthen monitoring of the implementation of the investment case. The GFF partnership also supports the improvement of stakeholder engagement in civil registration and vital statistics (CRVS) through the integration of birth and death notification and partner alignment and recording of causes of death into the District Management Health Information System 2 (DHMIS2).