Project profile — Support to the Global Financing Facility (GFF)


IBRD Trust Funds - World Bank (44001)
2015-12-14 - 2024-02-20
Global Affairs Canada
MFM Global Issues & Dev.Branch

Country / region 

• Africa, regional (50.00%)
• America, regional (20.00%)
• Asia, regional (30.00%)


• Health policy and administrative management:
Health policy and administrative management (12110) (10.00%)
Medical services (12191) (10.00%)
• Basic health care:
Basic health care (12220) (10.00%)
Basic health infrastructure (12230) (10.00%)
Basic nutrition (12240) (10.00%)
Health personnel development (12281) (10.00%)
• Reproductive health care:
Reproductive health care (13020) (10.00%)
Family planning (13030) (10.00%)
Personnel development for population and reproductive health (13081) (10.00%)
• Basic drinking water supply:
Basic drinking water supply (14031) (5.00%)
Basic sanitation (14032) (5.00%)

Policy marker 

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (not targeted)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Desertification (not targeted)
• Urban issues (not targeted)
• Children's issues (significant objective)
• Youth Issues (significant objective)
• Disability (not targeted)
• Indigenous Issues (not targeted)
• ICT as a tool for development (not targeted)


This project aims to support the Global Financing Facility (GFF), a multi-donor financing platform that provides country-led, sustainable financing to end preventable maternal, newborn, and child deaths. The GFF finances national reproductive, maternal, newborn and child health (RMNCH) plans and supports countries transitioning towards sustainable domestic financing of RMNCH. The GFF also finances the strengthening of civil registration and vital statistics (CRVS) systems, finances the development and deployment of global public goods, and contributes to coordinated financing for RMNCH. Project activities will vary depending on the RMNCH priorities of the recipient government and may include: (1) providing clinical interventions such as increasing access to health services and health facilities from the pre-pregnancy stage onwards for women, newborns and children, (2) contributing to health systems interventions such as strengthening health information systems, increasing access to medical products and technologies, and health systems strengthening; and (3) providing multi-sectoral interventions such as education, nutrition, and water and sanitation, in addition to strengthening CRVS systems. The GFF supports countries in developing individual RMNCH investment cases to align various sources of financing to national RMNCH priorities. The GFF uses additional financing for RMNCH by matching grant funding from the GFF Trust Fund to financing from the International Development Association (IDA) and the International Bank of Reconstruction and Development (IBRD). GFF country selection is prioritized based on criteria that include available resources, need, population and income, eligibility for IDA/IBRD loans and the ability to achieve results.

Expected results 

The expected outcomes of this project include: (1) improved financing that is more focused on evidence-based, high-impact “best buys” (RMNCH, health systems, multi-sectoral); (2) scaled up financing from domestic and external sources; (3) increased sustainable financing that enables countries to transition equitably and efficiently ; and (4) improved capacity to track progress, mainly through civil registration and vital statistics systems.

Results achieved 

Results achieved as of the end of the project (March 2020) include: (1) 80% of Global Financing Facility (GFF) countries with an approved investment case demonstrated improvements in the areas of health where the national government prioritized investments; (2) 27 GFF supported countries used an additional US$1.7 billion in World Bank funding to support reproductive, maternal, newborn, child and adolescent health and nutrition; and (3) GFF funding helped to reach more than 294 million users of modern contraceptives, thus helping the prevention of more than 110 million unintended pregnancies. Examples of country-specific results include: (1) Uganda saw a 60 percent increase in adolescent family planning visits between 2016 and 2019; (2) In Bangladesh's Chattogram and Sylhet regions, feeding counselling visits for infants and young children increased from 19% in 2017 to 54% in 2019, and; (3) Kenya’s health budget allocations increased in 43 out of 47 counties (91%) due to key GFF-driven financing reforms. From 2017-2019, all counties increased their health budgets to at least 20% of their total budget to reach the subnational target.

Budget and spending 

Original budget $0
Planned disbursement $0
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Contributions to specific-purpose programmes and funds managed by implementing partners
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