Health Pooled Fund phase 3 (HPF3) 2019-2024 Health Pooled Fund fas 3 (HPF3) 2019-2024 Health Pooled Fund (HPF) startades 2012 som en givargemensam fond under ledningen av Storbritanniens utrikesministerium (FCDO). 

Denna insats utgör stöd till fondens tredje fas (HPF3) och omfattar 614 miljoner svenska kronor. Andra givare till fonden inkluderar Kanada, USA och EU. Den totala budgeten uppgår för nuvarande till ca 330 miljoner pund. Sida har tidigare stöttat fas 1 och 2 under åren 2012 – 2018 med totalt 299 miljoner kronor och trots stora utmaningar har HPF under den perioden uppvisat mycket goda resultat.

HPF3 stödjer grundläggande hälso- och sjukvårdsservice på primär- sekundärnivå i sju av tio delstater. Det övergripande målet är att bidra till förbättrad hälsa hos befolkningen med särskilt fokus på barn- och mödradödlighet. 

Insatsen har följande tre delmål: 

1. Förbättrat utbud av hälso- och nutritionsservice för Sydsudans befolkning, med särskilt fokus på kvinnor och barn.

2. Ökat samhällsengagemang och ansvarstagande för hälsovårdstjänster.

3. Stabilisering av det nationella hälsosystemet. 

FCDO har upphandlat en fondförvaltare för HPF3. Fondförvaltaren för HPF3 är Crown Agents. Crown Agents är ett internationellt  icke-vinstdrivande företag som arbetar i låg- och medelinkomstländer med utvecklingsfrågor, bl.a. stärkande av hälso- och utbildningssystem samt inom den humanitära sektorn. Crown Agents arbetar i över 100 länder i samarbete med multinationella företag, regeringar, FN och biståndsgivare. 

Crown Agents upphandlar implementerande partner för genomförandet av aktiviteter. I HPF3 har 13 stycken I/NGOs upphandlats och tillsammans täcker de 21 geografiskt uppdelade områden. De implementerande partnerna skriver under Terms of Reference där uppdraget tydligt definieras. Alla aktiviteter utövas inom ramen för det nationella hälsosystemets strukturer och organisation och med hjälp av personal anställd av hälsoministeriet. Inga medel inom HPF3 överförs direkt till hälsoministeriet eller andra myndigheter. Crown Agents ansvarar även för upphandling och logistikkedjan av viktiga medicinska produkter så som läkemedel och medicinskt material och utrustning. The Health Pooled Fund (HPF) was set up in 2012 as a multi-donor fund under the leadership of the UK Foreign and Commonwealth Office (FCDO).

This contribution provide support to the fund's third phase (HPF3) and comprises 614 million Swedish Kronor. Other donors to the HPF3 include Canada, the US and the EU. The total budget currently amounts to approximately 330 million pounds. Sida has previously supported phases 1 and 2 during the years 2012 – 2018 with a total of SEK 299 million and, despite major challenges, HPF has delivered very good results during that period.

HPF3 supports delivery of essential primary health care in the community and through a network of health care facilities, secondary health care and referral health services. The overall goal is to contribute to an improved health and nutrition status for the South Sudanese population that saves lives and reduces morbidity (including maternal, infant and under-5 mortality), and has the following three principal outcomes:

1. Improved health and nutrition services for the population, especially women and children.

2. Improved community engagement and accountability of health services.

3. Stabilization of local health systems.

FCDO has procured Crown Agents as the fund manager for HPF3. Crown Agents is an international private but non-profit company that works in low- and middle-income countries with, e.g., strengthening health and education systems and in the humanitarian sector. Crown Agents are active in over 100 countries and work in collaboration with multinational companies, governments, the United Nations and donors.

Crown Agents procure implementing partners for the implementation of activities. In HPF3, 13 I/NGOs have been procured and together they cover 21 geographically divided areas. The implementing partners sign a Terms of Reference where the mission is clearly defined. All activities are carried out within the framework of the structures and organization of the national health system and with the help of staff members employed by the Ministry of Health. No funds within HPF3 are transferred directly to the Ministry of Health or other governmental authorities.

Finally, Crown Agents are responsible for procurement and the logistics chain of important medical products such as medicines and medical materials and equipment. The HPF3 supports delivery of essential primary health care in the community and through a network of health care facilities, secondary health care and referral health services. It supports the stabilization of local health systems and the strengthening of community ownership and governance structures and conducts procurement and supply chain management of essential medical commodities.

The HPF3 supports services in seven out of ten states in South Sudan: Central Equatoria, Eastern Equatoria, Lakes, Northern Bahr el Ghazal, Unity, Warrap, Western Bahr el Ghazal and Western Equatoria. The three remaining states, Jonglei,  Upper Nile and Unity, are being supported by a World Bank funded programme implemented by ICRC and UNICEF as contracted partners.

The overall HPF3 programme impact will be an improved health and nutrition status for the population that saves lives and reduces morbidity (including maternal, infant and under-5 mortality), and has the following three principal outcomes:

- Improved health and nutrition services for the population, especially women and children.

- Improved community engagement and accountability of health services.

- Stabilization of local health systems.

The recipients of services are primarily the state run health services in South Sudan. The direct beneficiaries are the South Sudanese people, with particular focus on mothers, pregnant women and children under five years of age.

HPF3 will contribute to three of the UN Sustainable Development goals as well as the global programme Scale up Nutrition and the global partnership to empower women and girls by investing in rights-based family planning; FP 2020.