Regional Financing for Malaria Task Force (RFMTF)12 May 2014 Hong Kong, China

Framing & Coordinating a Regional ResponseRamesh Subramaniam, Asian Development Bank

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Outline1. The Overall Challenge

2. Challenges in Leveraging National & Regional Responses

3. Steps in Framing a Response

4. Steps in Leveraging RCI

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1. The Overall Financing Challenge • Leveraging $280 million in public

spending to $1.6 billion per year

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2. Challenges in Leveraging National and Regional Responses • Small fiscal space competing for multiple

priorities• Constraints in co-opting private sector• Traditional RPG constraints• Infrastructure dominance in RCI programs

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3. Steps in Framing a Case a. Making a robust investment case

b. Drive it as an:• Inclusive growth, productivity and regional

competitiveness challenge for UMICs and MMICs

• Growth and social protection challenge for LMICs and poorer countries

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3. Steps in Framing a Case (cont..) c. Identify high-impact industries (2 or 3 digit) and demonstrate economic impact

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4. Leveraging RCI a. Including health as a priority in sub-regional programs:• National health as RPG• Regional agreement for national

scaling up• SPS norms• Sub-regional trade and tourism links• Regional business associations (e.g.

MBI)7

4. Leveraging RCI (cont…) b. Designing and implementing:

• A regional malaria/CD program (parallel: CDC; Regional sand strom; ABMI)

• Harmonizing programmatic and results-based interventions at national levels

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4. Leveraging RCI (cont…) c. Scale up the Trust Fund into a Leveraged Fund:• Make a robust case for equity capital

from public and private sector• Leverage through co-financed projects

with ADB• Use re-flows for future human capital

interventions

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THANK YOU!

Regional Financing for Malaria Task Force (RFMTF)12 May 2014 Hong Kong, China

Framing & Coordinating a Regional Response

Ramesh Subramaniam (rsubramaniam@adb.org)Deputy Director General, Southeast Asia DepartmentAsian Development Bank

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