France: a driving force and front-line financial contributor
In order to meet global health challenges, France has strongly stepped up its efforts since 2000. Its development assistance for health represented €773 million in 2012 (OECD/DAC figures).
In the fight against the three pandemics (MDG 6), France was behind the creation of the Global Fund to Fight AIDS, Tuberculosis and Malaria, of which it is the second largest financial contributor, with an annual contribution of €360 million (commitment for the 2014-2016 triennium). It also proposed the creation of the UNITAID International Drug Purchasing Facility, of which it is the main contributor, with €110 million granted in 2013.
Alongside its G8 partners, France increased its assistance to reduce maternal and infant mortality (MDG 4 and MDG 5) as part of the Muskoka Initiative (2010), and made a commitment to earmark an additional €100 million per year to this policy from 2011 to 2015. It is the fourth largest financial contributor to GAVI - the Global Alliance for Vaccines and Immunization (€79 million in 2013).
France has pioneered the mobilisation of innovative financing for health, thus rallying new resources and helping ensure greater predictability of financing. France’s entire contribution to UNITAID comes from the solidarity levy on air tickets implemented in 2006. Most of the contribution to GAVI Alliance is through the International Financial Facility for Immunisation (IFFIm), to which France made a commitment of €1.3 billion over a twenty-year period.
France has brought the theme of universal health coverage to the international arena. France was behind the resolution adopted by the United Nations General Assembly in December 2012 on this subject. Along with Germany, it created the “Providing for Health” partnership, hosted by the World Health Organization. In 2013, it launched the Solidarité – Health (Santé) – Sahel (I3S) initiative to promote free health care to children in the Sahel.