HSDPF is an academia and private sector led, inter-ministerial, intergovernmental and health development actor knowledge and resource exchange platform. HSDPF fosters development coordination and cooperation in alignment with global and local developmental goals and works to increase participation of the private sector in health systems strengthening as well as the sectors in which social determinants of heath are nested.

1. The Health Sector
Development Partner Forum
Logical overview

2. The Development Partner Forum Results Chain - logic overview
Inputs Activities Outputs Outcomes / Purpose Impact
Knowledge
and know-
how
Project
budget
The 3rd Health Sector
Development Partner
Forum.
Set-up coordination and
domestic resource
mobilisation mechanism.
Crowd in finance from
local and international,
public and private
sources.
Contracting Authority capacity for PPPs
and Domestic Resource Mobilisation.
Resource mapping,
research and surveys.
Partnerships
PPP Pipeline; Service & other partnership
agreements; Innovative sourcing &
spending,.
PPPs and Other
public and
Private
Partnerships for
Health;
Coordinated,
cohesive and
coherent Health
Systems
Strengthening
Sustainable
, Domestic
Health
Financing
and UHC
Financing instruments & resource
mobilisation strategy
Products, stakeholders, capital flow
redirections, Collective mechanism
Resource map (4wS)
Investment areas; Programs; Coverage;
Partners; Strategic objectives;
Health sector coordination mechanism
Joint advocacy & policy dialogue,
Triangulated impact assessment, collective
action. Joint DRM led projects.
Economical ,
Optimal
application
of inputs
Efficient processes conversion to outputs and translating SDG3 to action on the ground Effective outputs conversion through high impact weighted outcomes.
M & E and Knowledge
management
Training and capacity
building.
Triangulated impact assessment,
Evidence bases & data for policy, decision
making
Increased
community and
Primary Health
Financing and
innovations;

3. Outputs – Health Sector Resource Map (4Ws)
• Investment Areas;
• Strategic objectives;
• Geospatial distribution;
• Programs;
• Development partners;
• Implementing partners;
• Private sector actors;
• Public sector actors;
• Service providers;
• Beneficiaries*.
• Who – Project owner, implementer,
financier;
• What – Sector, project, activity;
• Where – Region, county, sub-county,
station;
• When – From. To.
Collaboratively updated with open-
information sharing.
Visualisations – Matrices, maps, charts,
reports and analyses.

4. Outputs - Partnerships
• Fostering partnerships
• Identifying potential partnership
projects;
• Selection of projects and early stage
project-development;
• Screening priority projects;
• Initial PPP concept development;
• Key commercial and legal term
development:
- Structuring, appraisal, risk identification
and allocation, feasibility, commercial
viability, VFM, fiscal responsibility.
• Innovative spending to leverage
larger private flows to maximise the
development impact of scarce
public resources. Guarantees and
other credit enhancement
instruments to leverage capital in
challenging credit environment.
• Innovative spending mechanisms
to: redistribute risk, increase
liquidity & address specific market
failures & barriers by leveraging
complementary finance e.g. RBF,
Debt swaps, awards and prizes.

5. Output - Operational Health sector coordination
mechanism
• Alignment;
• Collective action:
• Joint planning and advocacy;
• Policy dialogue and interventions;
• Joint;
- Coordinated Health Systems
Strengthening;
- Centralised domestic resource
mobilisation;
- Cohesive development activity;
- Coherence;
- Harmonisation;
- Triangulated impact assessment.
• Population wide interventions;
• Emergency preparedness, risk
management & response;
• Specialised care & outreach services;
• Results based management;
• Aid effectiveness interventions.

6. Output - Funding Diversification and Resource
Mobilisation Strategy
SOURCES
• Capital flow redirection;
• Local public sources;
• International public sources (ODA &
OOF);
• Local Private sources;
• International private sources.
• New actors;
• New instruments;
• New markets;
• New products and services;
• Mobilised resources;

7. Sources • Instruments
• Local Public • South – South, North – South and Triangular
Partnerships
• Domestic Public
• Consumer purchases;
• Concessions;
• PPPs Guarantees Bonds;
• RBF;
• Recourse financing;
• Non-recourse financing.
• International
Public
• Advance market commitments,
• Guarantees / other credit enhancement
instruments,
• Sovereign wealth funds,
• OOF
• MDBS
• UN agencies,
• South – South, North – South and Triangular
Partnerships
• DFI
• FDI
• Development impact bonds;
• Leasing;
• Results Based Financing - debt swaps, advance
market commitments and buy downs;
• Innovative spending;
• Guarantees;
• PPPs;
• Recourse financing;
• Non-recourse financing.

8. Local
Private
i. Investment funds;
ii. Microfinance
iii. Private capital,
iv. Money markets,
v. Portfolio,
vi. Public debt,
vii. Philanthropies,
viii. Foundations,
ix. NGOs
x. South – South, North – South and Triangular Partnerships
xi. Capital debt markets,
xii. Trusts
1. Consumer purchases,
2. Trade Financing – Warehouse receipts, letters of credit Purchase
order finance, invoice discounting etc
3. Alternative debt Corporate bonds, Securitized bonds, Covered
bonds, Private placements, Crowd funding (debt);
4. Infrastructure debt portfolio sales by banks to institutions;
5. Multi-investor institutional debt funds;
6. Derivatives;
7. Equities;
8. Bonds;
9. Guarantees;
10. PPPs
11. Loans
12. Hedge funds,
International
Private
i. Investment funds,
ii. Listing vehicles;
iii. Guarantees / other credit enhancement instruments;
iv. Private capital;
v. Money markets;
vi. Philanthropies;
vii. Foundations;
viii. INGOs;
ix. South – South, North – South & Triangular Partnerships;
x. DFI;
xi. FDI;
xii. Capital debt markets.
1. Alternative debt Corporate bonds, Securitized bonds, Covered
bonds, Private placements, Crowd funding (debt);
2. Challenge funds, Innovation funds,
3. Multi-investor institutional debt funds;
4. Portfolio;
5. Derivatives;
6. Loans;
7. PPP;
8. Concessions.
Sources Instruments

9. Health Financing Landscape
OOF
FDI
IFI
ODA
UN System
Triangular
Partnerships
Philanthropies
Public Debt
Short Term
Debt
NGOs
Portfolio /
Equity
MDB
Insurance
Communities
Sovereign Wealth Funds
Multi-investor institutional
debt
Money
Markets
Bonds
Derivatives
Private
Placements
Remittances
Hybrid
instruments
Capital Markets
Institutional
Pension Funds
North-South
Partnerships
South – South
Partnerships Private Debt
Commercial
Banks
PPP Financing Sources

10. Output – Building Country and county capacity for
PPPs
• Introduction to Private Public Partnerships.
• PPP Node constitution and roles.
• The PPP Life Cycle.
• Types, strategies and approaches to PPP’s.
• Developing and analysing PPP financial
models.
• Project finance and analysis.
• Project valuation, rates and subsidies.
• Negotiation skills.
• Contingent liability and risk management.
• Monitoring, Evaluation and Quality assurance.
• Needs and impact analyses.
• Corporate finance management.
• PPP legal and regulatory frameworks.
• Project legal services in drafting and
documentation.
• Consumer rights protection and
affordability.
• Investor profiling.
• Tariff design.
• Environmental and Social Management
Framework.
• Corporate governance and social
responsibility strategies.
• Creating county regulatory frameworks to
promote private sector investment.
• Special Purpose Vehicles – early stage
project development.

11. Output – Country and county capacity for domestic
resource mobilisation
• Value for Money;
• RBF;
• PPP;
• Managing for results;
• Theory of change;
• Sub-national (Counties and
Autonomous / semi-autonomous
Government Agencies) Funding
Diversification and Resource
Mobilisation strategies;
• Innovative Sourcing;
• Allocative efficiencies;
• Capital budget planning;
• Public health financing;
• NHIF Pooling;
• Mobilised technologies and innovations(IT,
new approaches, knowledge, networks,
financial models etc;

12. Outputs - Evidence Bases and DDM
• Transactional data - track financial flows.
Where from, where to, what on.
- Efficient grantmaking and transparency;
• Outcome data – Track development progress
and measure program impact. New indicators,
new data, new data (sets, tools, types, sources,
new collection methods, visualisations);
- Aid strategic partnering & funding
decisions;
- Triangulated impact assessments.
• Qualitative data - Share knowledge, data,
stories, lessons learned and beneficiary level
feedback;
-Foster adoption of universal set of
cross-sectoral indicators;
-Plug in development finance
landscape into glocal data processes.
• Program data – 4Ws (Who is doing What
When & Where) Coordinate partnerships and
effective development outcomes;
-Foster cohesion in development
landscape
-Develop understanding of national
and county data contexts;
- Provide a platform to develop
sustainable in-country and in-county
capacity and technical skills;
- Implement data collection systems
relevant to development contexts;
- Build capacity for where there are data
gaps / where there data do not exist.
Move health system closer to convergence

13. Health Systems Approach
• Health Infrastructure
- Water and electricity;
- Ambulances;
- Structures;
- Roads.
• Health service delivery:
- Telemedicine and Remote diagnostics;
• HRH outreaches;
• HRH training;

14. Projected Impact of HSDPF on Health expenditure
and financing sources
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2017 2018 2019 2020 2021 2022 2023 2024 2025
USD000
Year
Kenya Health Expenditure
Public Private Donor
0
5
10
15
20
25
30
35
40
45
50
2017 2018 2019 2020 2021 2022 2023 2024
Percentage%
Year
Kenya Health Financing Sources
ODA OOF PPP GoK Private

15. Health Systems Approach
• Health workforce
- HRH database and recruitment
services;
- HRH rotational distribution;
- Cross county HRH sharing;
- HRH training and study support;
• Health financing
- Crowding-in finance for health;
- PPP financing and advisory
services;
- Domestic resource mobilisation

16. Health Systems Approach
• Health leadership Governance
- Advocacy;
- Policy dialogue and translation to
practice;
- Patient centred care;
• Health technologies and commodities
- Remote diagnostics;
- PHC innovations;
- Scheduled / regular and reparative
maintenance;

17. Health Systems Approach
• Health Information and research
- Data mobilisation;
- PPP readiness index;
- DHIS II data collection support;
- SDG indicator reporting;
- DDM;