Liberia

As a second wave GFF country, the government of Liberia is seizing the GFF opportunity to reconstruct and strengthen its health system to increase the utilization of services and enhance its resilience to shock.

Ministry of health contact

Dr. Joseph L. Kerkulah

Director of the Family Health Division

RMNCAH profile

Prior to the Ebola Viral Disease outbreak in 2014, the government of Liberia had gradually charted a path toward achieving the fourth Millennium Development Goal (MDG 4)—reducing under-five mortality by two-thirds three years ahead of the 2015 deadline. Conversely, performance with regard to the fifth MDG remained poor, with the maternal mortality ratio ranking among the highest in the world; this has been exacerbated by high rates of teenage pregnancies and low rates of contraceptive prevalence (DHS, 2013). In 2014, the Ebola Viral Disease outbreak eroded RMNCAH progress and further widened preexisting gaps: service utilization plummeted, service quality deteriorated—in part because of significant losses in human resources for health—and economic, as well as urban-rural disparities, deepened.

Country Platform

Liberia’s country platform is composed of two technical working groups overseen by a health sector coordination committee: the first technical working group focuses on RMNCAH and the second concentrates on health financing. The country also recently joined the International Health Partnership (IHP+) to strengthen coordination in the country.

Investment Case

Under the strong leadership of the Ministry of Health, the RMNCAH Investment Case is being developed in close collaboration with development partners—including the Clinton Health Access Initiative, Jhpiego, the United Nations Children’s Fund (UNICEF), the United Nations Population Fund (UNFPA), the World Bank, and the World Health Organization (WHO).

Prioritizing integrated RMNCAH approaches and building on ongoing performance-based financing activities, the Liberian Investment Case seeks to improve the delivery of Emergency Obstetric and Neonatal Care services and enhance the delivery of RMNCAH services at community level. In parallel, it proposes to particularly target adolescents with a specific focus on family planning and on strengthening the health system, including human resources for health, primary and secondary health facility infrastructure, and drug and commodity supply chain management. In addition, the Liberian Investment Case emphasizes emergency preparedness, surveillance and response, especially focusing on maternal and neonatal deaths surveillance and response (MNDSR). It also plans to adopt a crosscutting approach to strengthen the Civil Registration and Vital Statistics system as well as reinforce RMNCAH leadership, governance, and management at all levels. To further increase RMNCAH coverage and improve equity, the Investment Case identifies different scenarios, which will be implemented based on available resources, prioritizing counties with the worst RMNCAH indicators as a first step.

Many development partners—such as Gavi, the Vaccine Alliance, the Global Fund to Fight AIDS, Tuberculosis and Malaria, the U.S. Agency for International Development (USAID) and the World Bank, with resources from both the International Development Association (IDA) and the GFF Trust Fund, are aligning their financing in support of the Investment Case. Conversely, United Nations organizations, the private sector, as well as civil society—represented by the RMNCAH Goodwill Ambassador—are providing technical support alongside Last Mile HealthPartners in Health and BRAC. They will also play a key role in implementation.   

Health Financing Strategy

The health financing strategy prioritizes the development of a Liberia Health Equity Fund (LHEF) to create a sustainable health financing system that guarantees equal access to quality health care and ensures financial protection for all Liberians. It intends to protect vulnerable and poor Liberians from catastrophic health costs through risk pooling and sustainable resources mobilization. The Ministry of Health is also keen to roll out a resource allocation formula to improve the allocative efficiency of health resources. At the same time, the government of Liberia seeks to improve the efficiency and effectiveness of donor funds through IHP+ participation and enhance resource mapping, as well as strengthen joint monitoring and evaluation and joint fiduciary assessments. Further strengthening the sector-wide approach represents another priority in health financing—with an intent to increase the amount of external financing that is “on-budget.”

Documents


Liberia RMNCAH Investment Case 2016-2020 | PDF | 3.63MB


Minister Zolia remarks on health financing

Results

Countries will be responsible for tracking progress on the indicators contained in the results framework of their Investment Cases. Information about progress will be made available on this site as it becomes available to the Secretariat.

Partners

Bill & Melinda Gates Foundation

Bill & Melinda Gates Foundation

Financier


US$ 75 million to the GFF Trust Fund
A founding donor of the GFF and key partner for financing, governance, and advocacy

Gavi, the Vaccine Alliance

Gavi, the Vaccine Alliance

International organization



The GFF complements Gavi’s work in-country, harmonizing financing wherever possible. Gavi is a member of the Investors Group

Global Affairs Canada

Global Affairs Canada

Financier


CAD 220 million to the GFF Trust Fund
A founding donor of the GFF and key partner for financing, governance, advocacy as well as CRVS

Norwegian Ministry of Foreign Affairs

Norwegian Ministry of Foreign Affairs

Financier


US$ 600 million to the GFF Trust Fund
A founding donor of the GFF and key partner for financing, governance, and advocacy

The Global Fund for AIDS, Tuberculosis and Malaria

The Global Fund for AIDS, Tuberculosis and Malaria

International organization



The Global Fund for AIDS, Tuberculosis and Malaria and the GFF look for synergy and complementarity in their country-based investments. The Global Fund is a member of the Investors Group

The World Bank Group

The World Bank Group

Multilateral organization



The World Bank (WB) hosts the GFF Secretariat and the GFF Trust Fund whose fiduciary arrangements are integrated into IDA/IBRD projects approved by the WB Board. The WB is a member of the Investors Group. 

USAID

USAID

Financier


US$ 200 million
A key partner of the GFF for co-financing, governance, and advocacy