End-of-Project Agenda

1. ADVANCES IN HEALTH FINANCE AND GOVERNANCE | HEALTH FINANCE AND GOVERNANCE PROJECT 1
Advances in
Health Finance
and Governance
HEALTH FINANCE AND GOVERNANCE PROJECT
End of Project Conference
MAY 10, 2018
Ronald Reagan Building, Washington D.C.

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About the Health Finance and Governance Project
The Health Finance and Governance (HFG) Project works to address some of the greatest challenges
facing health systems today. Drawing on the latest research, the project implements strategies to
help countries increase their domestic resources for health, manage those precious resources more
effectively, and make wise purchasing decisions. The project also assists countries in developing robust
governance systems to ensure that financial investments for health achieve their intended results.
With activities in more than 40 countries, HFG collaborates with health stakeholders to protect families
from catastrophic health care costs, expand access to priority services – such as maternal and child
health care – and ensure equitable population coverage through:
• Improving financing by mobilizing domestic resources, reducing financial barriers,
expanding health insurance, and implementing provider payment systems;
• Enhancing governance for better health system management and greater accountability
and transparency;
• Improving management and operations systems to advance the delivery and effectiveness
of health care, for example, through mobile money and public financial management; and
• Advancing techniques to measure progress in health systems performance, especially
around universal health coverage.
The HFG project (2012-2018) is funded by the U.S. Agency for International Development (USAID) and
is led by Abt Associates in collaboration with Avenir Health, Broad Branch Associates, Development
Alternatives Inc., the Johns Hopkins Bloomberg School of Public Health, Results for Development
Institute, RTI International, and Training Resources Group, Inc. The project is funded under USAID
cooperative agreement AID-OAA-A-12-00080.
To learn more, visit www.hfgproject.org
USAID Agreement Officer Representative (AOR) Team
Scott Stewart (GH/OHS)
Email: sstewart@usaid.gov
Jodi Charles (GH/OHS)
Email : jcharles@usaid.gov

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Agenda
TIME SESSION PRESENTER
8:30 – 9:00am Registration and Refreshments
9:00 – 9:05am Welcome Jay Knott
9:05 – 9:15am Achieving USAID Development Goals Through Health Systems Strengthening
Bob Emrey
Kelly Saldaña
9:15 – 9:30am Introductions Laura Guyer
9:30 – 9:50am HFG: A Life of Project Perspective Bob Fryatt
9:50 – 10:30am What Transition Looks Like: Spotlight on Ethiopia
Hailu Zelelew
Leulseged Ageze
10:30 – 10:50am Morning Break
11:00 – 12:00am HFG COPs Panel: How to Integrate Finance and Governance
MODERATOR: Nicole Barcikowski
Gafar Alawode
Jean Butera Damas
Mursaleena Islam
Ted Hammett
12:00 – 12:15pm Introduction to the Afternoon Agenda Laura Guyer
12:15 – 1:15pm Lunch and Learning Lab
1:30 – 2:30pm
Concurrent Session 1:
Using Data to Achieve Efficiency in HIV, TB, and Malaria Programs
Saba Waseem
Sophie Faye
Nassim Diaz Casado
Concurrent Session 2:
Preparing Countries for Transition
Nathan Blanchet
Catherine Connor
Kerry Pelzman
Concurrent Session 3:
Institutional Capacity Building for Resilient Health Systems
Steve Yank
Fred Rosensweig
Jean Butera Damas
Desire Boko
2:30 – 2:45pm Afternoon Break/Room Transition
2:45 – 3:20pm Future Trends in HSS
MODERATOR: Karishmah Bhuwanee
Kelly Saldaña
Susna De
Sara Bennett
3:20 – 3:30pm Concluding Remarks Bob Fryatt

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Kerry Pelzman
Deputy Assistant
Administrator, USAID
Bureau for Global Health
Kerry Pelzman is a Senior
Foreign Service Officer
with 30 years of experience in public health, two-
thirds with USAID. She has served in six USAID
missions, covering health, education, and capacity
development, including in South Africa, Afghanistan,
India, Iraq, the Regional Mission for Central Asia,
and Russia. Prior to joining USAID in 1998, Kerry
consulted on international health issues, worked
to implement a family planning program in Togo,
managed public health education programs for the
New York City Department of Health, and served
as a U.S. Peace Corps Volunteer in Mauritania. She
holds a B.A. from Yale University and an MPH from
the University of Michigan’s School of Public Health.
Kelly Saldaña
Director, Office of Health
Systems, USAID Bureau
for Global Health
Kelly Saldaña has over 15
years of experience in public
health administration and international development.
She has served in a variety of roles within USAID,
including most recently as deputy director of the
Office of Infectious Disease, and previously with the
Bureau for Latin America and the Caribbean. She
has led a wide array of health programs throughout
her career, including the Haiti earthquake response
and USAID’s Zika response. She also developed
the agency’s approach for “Acting on the Call,”
through a report published annually the past four
years to demonstrate the work being done by
USAID and its partners to end preventable child
and maternal deaths. Ms. Saldaña holds an MPH
and an MPIA from the University of Pittsburgh.
Susna De
Senior Program Officer
for Health Systems
Strengthening, Bill &
Melinda Gates Foundation
Susna De is the
Senior Program Officer for Health Systems
Strengthening at the Bill & Melinda Gates
Foundation. In previous positions, she served
as Health Systems Strengthening Team Lead
with USAID Tanzania, as System Strengthening
and Capacity Development Advisor with USAID
Namibia, and as a Senior Associate with Abt
Associates. Susna holds an MPH from the George
Washington University and an MSc in Neurology
and Neurosurgery from McGill University.
Distinguished Guests
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Leulseged Ageze
Chief of Party, Ethiopia
Leulseged Ageze has worked on health sector
reform issues for 10 years. He has supported the
introduction and expansion of health insurance in
Ethiopia, promoting revenue retention and utilization
and strengthened governance at the facility level and expanding the
evidence base for health financing decision-making. He has over 25 years
of experience in strategic planning, appraisal, and the monitoring and
evaluation of policy, programs, and projects for both government and
bilateral development agencies in Ethiopia. Prior to joining Abt Associates,
Leulseged held senior positions in various Ethiopian government institutions.
He holds a B.A in economics from Addis Ababa University and an M.S. in
development and project planning from the University of Bradford, U.K.
Gafar Alawode
Chief of Party, Nigeria
Twitter: @GafarAlawode
Gafar Alawode leads the HFG team in Nigeria, working
at both the federal and state level. Under his leadership,
HFG Nigeria collaborated with the State Agencies for the
Control of AIDS and the Strengthening Integrated Delivery of HIV/AIDS Services
project to develop resource mobilization strategies in several states. During the
2017 State Council on Health, HFG Nigeria was honored for its contribution to
health financing reforms and support towards the implementation of the Lagos
State Health Scheme. Under Gafar’s guidance, HFG Nigeria has also partnered
with the National Tuberculosis and Leprosy Control Programme to implement
a mobile-based technology that drastically shortened the TB reporting period,
resulting in faster patient diagnosis and referrals to treatment. Due to its success,
the solution has been adopted by nearly 300 TB facilities across the country.
Gafar completed his Doctor of Medicine and Surgery in Nigeria and earned an
M.Sc. in tropical medicine from the Liverpool School of Tropical Medicine.
Nicole Barcikowski
Director of Country Programs
Nicole Barcikowski plays a central role achieving the HFG
field program’s objectives within the various portfolios.
Through cross-cutting contributions to overall country
programs, she supports the definition of objectives
and the design and alignment of technical strategies and implementation
approaches. She also oversees the project’s quality assurance processes. Nicole
brings over 20 years of experience developing, implementing and managing
public health teams, organizations, and programs in Asia, Africa, Latin America,
and the U.S. From 2008 to 2012, she served as the director of country programs
for the USAID-funded Health Systems 20/20 Project, a predecessor to the
HFG project. Prior to that, she worked as a senior technical advisor for HIV and
OVC programs at World Vision and with the USAID Child Survival and Health
Grant Programs. She holds a M.A. in international health from Ohio University.
Sara Bennett
Team Lead, Health Systems Research
Twitter: @saracbennett
Sara Bennett directs the development of the global
health systems research agenda in collaboration
with USAID, and works to build the capacity of local
and regional organizations to conduct health systems research. Sara has
studied a wide range of health system issues, including health financing,
health markets, human resources for health, and the impact of global health
initiatives on health systems. She is director of the Dr.PH. program at the
Johns Hopkins Bloomberg School of Public Health and an associate professor
in the school’s Health Systems Program. She serves as the chief executive
officer of the Future Health Systems consortium, co-editor of the journal
of Health Policy and Planning, chair of the Joint Health Systems Research
Committee (Wellcome Trust/MRC/DFID/ESRC), and former chair of Health
Systems Global. She earned her Ph.D. at the London School of Economics.
HFG Project Presenters
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Karishmah Bhuwanee
Senior Associate
Twitter: @karishmah_b
Karishmah Bhuwanee has over 11 years’ experience
in health financing in international development.
Her expertise is in resource tracking, performance-
based financing, and public financial management for health. Previously,
Karishmah worked as an economist in the Burundi Ministry of Health
under the DFID-funded Overseas Development Institute Fellowship
Program, conducting costing and financial analysis of performance-based
financing reform, developing annual ministry budgets, and tracking health
expenditures. She has also worked at Crown Agents, providing technical
assistance to countries in public financial management for health, and at
NM Rothschild providing mergers and acquisitions advisory services to
private organizations. She holds an M.Sc. in international development
management from the London School of Economics and a B.A. (Hons)
in economics and management from the University of Oxford.
Nathan Blanchet
Senior Health Economist
Twitter: @njblanchet
Nathan Blanchet brings over 15 years of experience
advancing public health and education in Africa,
Eastern Europe, and Asia through academic research,
teaching, and nonprofit program leadership. Nathan leads work on the
design and implementation of national health insurance programs and other
means of achieving universal health coverage in low- and middle-income
countries. Focus areas include strengthening primary health care and
integrating vertically-financed and private health services into sustainable
public health financing systems. He has written and taught qualitative
and quantitative studies on health financing, human resources for health,
and the political economy of health reform in low- and middle-income
countries, with a focus on Ghana. Nathan holds an Sc.D. in global health
and population from Harvard University’s T.H. Chan School of Public Health,
where he is also a visiting scientist, and an M.A. in international relations
from Johns Hopkins University’s School of Advanced International Studies.
Désiré Boko
Chief of Party, Haiti
Désiré Boko leads HFG’s efforts to build the capacity
of the Ministry of Public Health and Population (MSPP)
to exercise full authority and effectively oversee
the country’s health sector, providing expertise and
support in human resources for health management, health financing,
public financial management, and governance of the health sector. HFG
plays a significant role in the ongoing development of Haiti’s national health
financing strategy, which will support MSPP’s efforts to identify, mobilize, and
utilize financial resources to enable universal access to care for the Haitian
population. Dr. Boko brings over 24 years of experience in health care and
health policy. Before joining HFG in Haiti, he was HFG chief of party in Côte
d’Ivoire for two years. Prior to joining the HFG project, Dr. Boko served as
a primary care physician and a regional coordinator of the National AIDS
Control Program in Côte d’Ivoire. A medical doctor by training, he also
holds an MBA with a concentration in health program management.
Jean Damas Butera
Chief of Party, Guinea
Jean Damascène (Damas) Butera leads HFG
efforts to support the national post-Ebola recovery
strategy, focusing on rebuilding the health system
not only to improve capacity but to provide better
health services and crisis response. HFG Guinea works in four areas of
health systems strengthening: institutional strengthening, governance,
financing, and human resources for health. In 2016, HFG facilitated a series
of workshops to help the Health Commission of the National Assembly
better understand the national health budget and its implications for
the health system. Using skills from these workshops, the commission
held budget hearings with the Minister of Health and his senior staff,
resulting in a 2.4% increase in health funding over the government’s
original submission. Damas has more than 18 years of experience in project
management and technical support to USAID and DFID-funded international
health projects, bringing expertise in health financing, community-
based health insurance schemes, human resources for health, and health
governance. He holds an MPH from the National University of Rwanda.

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Catherine Connor
Deputy Project Director
Catherine Connor brings more than 30 years of
experience in the domestic and international health
fields, working with governments, NGOs, the private
sector, and bilateral and multilateral agencies in Africa,
Latin America, and Asia. She is a leader in health system strengthening, with
a focus on health financing. Catherine has managed and delivered technical
assistance in health sector reform and system strengthening on several global
USAID projects. Previously, she consulted on banking and management in
Brazil and, in the US, directed a hospital-based program coordinating all
health and social services for homebound elderly through a grant from the
Robert Wood Johnson Foundation and a contract with Medicaid. Catherine
holds an MBA with a concentration in health care management from Boston
University and a B.A. in health education with an emphasis on community
health and program planning from San Francisco State University.
Nassim Diaz
Chief of Party, Dominican Republic
Nassim Diaz leads HFG’s efforts to support the
Government of the Dominican Republic and other
institutions in the country to develop a comprehensive
financial sustainability strategy for the national
HIV and AIDS response. Nassim brings more than 15 years’ experience
working as a project manager for multilateral organizations, including
the World Bank and the International Development Bank. Nassim holds
a BA in industrial engineering from the Technological Institute of Santo
Domingo and an MBA from Barcelona and Nottingham Trent University.
Sophie Faye
Associate
Sophie Faye provides economic and costing support
to various HFG activities. Her expertise includes
efficiency analysis of health care delivery systems;
costing of health institutions, programs, and insurance
schemes; program evaluation; and costing of human resources for health
production. Sophie has country experience in Cote d’Ivoire, Democratic
Republic of Congo, Ethiopia, Haiti, Senegal, and Zambia. She holds a
master’s degree in economics with a concentration in labor economics
from Cheikh Anta Diop University in Senegal and a Ph.D. in economics
with a concentration in health from Suffolk University in Boston.
Bob Fryatt
Project Director
Twitter: @bobfryatt
Bob Fryatt brings 25 years of background in public
health and social policy, with background in low,
middle-, and high-income countries and in NGO,
government, and multilateral settings in Asia, Africa, and Europe. He has
worked with donor agencies including USAID, the U.K. Department for
International Development (DFID), and the World Bank. He has also served
as an adviser to the South African Ministry of Health and coordinated the
International Health Partnership and the High-Level Taskforce on Innovative
Financing for Health Systems at the World Health Organization. Bob
holds a Medical Doctorate in economics and tuberculosis control from
the University of London and a master’s in public health medicine from
London University, and is a fellow of the U.K. Faculty of Public Health.
Laura Guyer
Senior Organizational Development
Specialist and Program Facilitator
Laura Guyer has over 25 years of experience providing
training and training management services in multicultural
environments. She specializes in the design of professional
training programs and all aspects of organizational development, focusing on such
areas as designing and facilitating stakeholder events; strengthening leadership
and management skills, communication skills, and performance management;
and executive coaching. Her clients include USAID, the U.S. Department
of State, the United Nations Development Programme, the United Nations
Population Fund, the Consultative Group on International Agricultural Research,
the World Bank, the Jane Goodall Institute, the University of Witwatersrand-
Johannesburg, the Bill and Melinda Gates Foundation, and Canada’s International
Development Research Centre. Laura holds a M.A. from Butler University.

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Ted Hammett
Chief of Party, Vietnam
Ted Hammett leads HFG’s partnership with the Vietnam
Ministry of Health and Vietnam Social Security on
the transition from an HIV response largely funded
by international donors to one operated and funded
by the Government of Vietnam, including integration of HIV treatment
clinics into the public health system, centralized local procurement of
antiretroviral drugs, and expansion of social health insurance coverage and
reimbursement of HIV services through the social health insurance fund.
Ted has led projects providing evaluation, policy analysis, and technical
assistance in public health and criminal justice. In Vietnam, he led an innovative
project to reduce cross-border HIV transmission in northern Vietnam and
southern China from 2001-2009 and served as chief of party for the USAID-
funded Health Policy Initiative task order from 2008-2012. Ted holds a B.A.
from Harvard College and a Ph.D. in history from Brandeis University.
Mursaleena Islam
Country Manager, HFG Bangladesh
Mursaleena Islam leads HFG’s work to support
integration of health financing and governance to
strengthen the health system for universal health
coverage (UHC). In this capacity, she collaborated with
USAID/Bangladesh on a health financing and UHC assessment that led to the
design of a country program to improve governance capacity, advocacy, and
action for UHC. She is also working closely with the Health Economics Unit at
the Ministry of Health and Family Welfare in Bangladesh on a proposed plan
for repositioning the unit in the context of UHC, and supporting technical
analysis based on Bangladesh’s Health Care Financing Strategy. A senior
economist, Mursaleena has over 18 years of experience in health systems,
health financing, and monitoring and evaluation. On the USAID-funded Health
Systems 20/20 project, she coordinated the publication of the Health Systems
Assessment Approach: A How-To Manual. She previously served as the
senior specialist for health systems at Gavi, the Vaccine Alliance. Mursaleena
holds a B.A. in economics from the Massachusetts Institute of Technology,
an M.A. in economics from Syracuse University’s Maxwell School, and a
Ph.D. in economics from the University of Illinois at Urbana-Champaign.
Stephen Musau
Principal Associate
Steve Musau is a Chartered Accountant with more than
30 years’ experience in management consultancy and
audit in the private and public sector. He focuses on
strengthening public financial management, health
financing, and conducting cost analyses of health services. He has extensive
experience working with public and Non-Governmental Organizations
providing financial management systems design and performance
improvement technical assistance. His country experience includes: United
Kingdom; Kenya; Tanzania; Uganda; Eritrea; Ethiopia; South Sudan; the
U.S., Namibia; Botswana; Rwanda, and many others. Musau received his
accountancy qualification with the Institute of Chartered Accountants
in England & Wales in 1985 and was admitted into Fellowship in 1997. He
received his B.Com. in Accounting from the University of Nairobi.
Fred Rosensweig
Capacity-Building Advisor
Fred Rosensweig serves as home office country manager
for HFG programs in Guinea and the Democratic
Republic of Congo and provides support for other
programs with capacity-building components, including
in Bangladesh, Burundi, Haiti and Mali. Fred is an organizational development
and training specialist with over 35 years of experience working on capacity-
building activities in developing countries. He has worked extensively in the
areas of health systems strengthening; water, sanitation, and hygiene; and local
government strengthening. Specific areas of expertise include institutional
assessments, the design and implementation of capacity-building activities,
and the use of participatory processes to gain increased involvement and
commitment of key stakeholders. He previously served as the capacity
building team leader under the USAID-funded Health Systems 20/20
project. Fred holds an M.A. from the University of California, Los Angeles.

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Bokar Touré
Chief of Party, Mali
Bokar Touré leads the HFG team in Mali in its work
with the Ministry of Health and Public Hygiene
(MHPH), technical partners, and key health players,
to improve health governance and health financing.
He priority areas of expertise include in applied statistics and epidemiology,
health system analysis, and health economics and econometrics. Prior
to joining HFG, Bokar spent many years working in various capacities
for the WHO and the Malian MOH, and acted as a consultant for various
international agencies. He is a medical doctor with an MPH, an MSc in
Applied statistics to epidemiology, and a DEA in health economics.
Saba Waseem
Director, Research and Evaluation
Saba Waseem leads the HFG global TB financing
portfolio, providing oversight of HFG support for
implementing strategic purchasing benefits packages
for TB programs in Eastern Europe, Africa, and Asia.
With over 25 years’ experience in quantitative and qualitative research in the
health, social protection, and poverty reduction sectors, she also serves as
the project’s research and evaluation director. She has extensive experience
providing systems strengthening and capacity building technical assistance
for national programs, donor-funded projects, statistical agencies, and multi-
stakeholder bodies. Saba holds an M.A. in economics from the Delhi School of
Economics and a Ph.D. in international development from Cornell University.
Steve Yank
Organizational Development Consultant and Trainer
Steve Yank has worked with ministries of health in
the Democratic Republic of Congo and Haiti and with
organizations including the Kinshasa School of Public
Health and the Regional Institute of Public Health in
Benin to address challenges related to institutional capacity. Using approaches
such as institutional capacity assessments, leadership development programs,
participatory workshops, and coaching, he helps organizations establish clear
mandates, structure, roles and responsibilities; adequate and capable managers
and staff; well-defined systems and processes; adequate financial and operating
resources; and the capacity to engage internal and external stakeholders.
Steve holds an M.A. in theology from Washington Theological Union and
a certificate in organization development from Georgetown University.
Hailu Zelelew
Country Manager, Ethiopia
Hailu Zelelew brings over 25 years of experience across
a range of development activities. His expertise includes
designing and implementing health care financing
and health sector reform design and implementation;
capacity building and technical support to government counterparts; and
health financing resource tracking. Prior to joining the HFG project, Hailu
served as senior healthcare financing specialist and deputy project director
for the USAID-funded Essential Services for Health in Ethiopia Project, where
he led a team of health financing professionals supporting the national health
care financing reform agenda. In his early career, he served as a civil servant
in the Ethiopian government and as a grassroots development practitioner.

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Health Systems Assessment Approach Manual
More than 30 low- and middle-income countries have used USAID’s Health
Systems Assessment Approach manual to assess health systems performance
and facilitate evidence-based decision-making by policymakers and planners.
Come see how HFG is transforming the tool from a paper-based product to a
more user-friendly, interactive guide for stakeholders.
Health Systems Benchmarking Tool
The Health Systems Benchmarking Tool is a dynamic and interactive tool for
comparing low-, middle-, and upper middle-income countries on health system
functions, outcomes, and impact using internationally standardized indicators.
Come see how this Excel-based tool can be used by donors and health policy
makers to understand health systems strengths and weaknesses and prioritize
areas for improvement.
Costs of HIV Viral Load and Early Infant
Diagnosis: Forecasting Tool and Manual
This Excel-based tool can be used to estimate the costs and human-
resource implications of scaling up HIV viral load monitoring and viral load
testing for early infant diagnosis. Come get a demo and see how users
can choose between different testing platforms, target populations, and
supporting practices to estimate the costs and outcomes of scaling up
different approaches.
Measuring the Impact on Lives Saved
The HFG project is employing the powerful Spectrum modeling suite to
estimate the health impact of health finance and governance activities across
various countries. Come learn how the Spectrum models work, and explore
some initial results and findings.
Health System Technical Efficiency Guide
This interactive web-based guide helps stakeholders look across the health
system and prioritize areas of technical inefficiency that are likely to produce
the greatest efficiency gains. Come get a hands-on demonstration and see
firsthand how stakeholders will use the guide to assess technical efficiency in
their countries.
Health Finance & Governance Advances:
Knowledge and Learning Briefs
HFG’s Advances in Health Finance and Governance series presents key lessons
learned from project work in nine core areas: domestic resource mobilization,
strategic health purchasing, health financing strategies, expanding coverage
through health insurance, financial data use for decision-making, governance,
institutional capacity building, workforce and efficiency, and building
momentum for universal health coverage. Finish your Learning Lab tour by
perusing our library of briefs, taking home any that strike your interest.
ADVANCES IN HEALTH FINANCE
& GOVERNANCE
LEARNING LAB
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