A Scoping Review of Governance Challenges in International Health Financing Lessons for the Pandemic Preparedness and Response Financial Intermediary Fund

Scoping report FIF governance challenges TI_UoLThe failures of the international COVID-19 response highlighted key gaps in Pandemic Preparedness and Response (PPR) at global, regional and national levels. As a result, calls are being made for additional funding of $10.5 billion per year to adequately strengthen the global PPR architecture. In response to these calls, the World Bank announced the launching of a new Financial Intermediary Fund (FIF) for PPR to catalyse this additional funding. The FIF aims to fill financing gaps, expand the ability of the UN agencies and Multilateral Development Banks (MDBs) to support capacity building at the country and regional level, and provide “greater agility at the global level through initial bridge financing, as other sources are mobilized.” (World Bank, n.d.). It is likely to follow existing FIF models largely headed up by the World Bank, yet it remains unclear what governance model the Facility will take with divergent ideas being proposed by the WHO, Government of Twenty, World Bank and key stakeholders. Accordingly, it is necessary and timely to review other existing international financing and governance instruments to locate key governance issues identified in the existing literature. This analysis allows the formation of informed and evidence-based recommendations to ensure policies are embedded in the FIF that guarantee transparency of decision-making processes and funds disbursement. Moreover, the analysis provides insights on key accountability criteria and mechanisms required to ensure the FIF remains accountable to its stakeholders and the wider global health community.

Read the full report here: UoL Scoping review summary analysis PPR FIF