Founded in 2002 by
President William J. Clinton, the Clinton Health Access Initiative (CHAI) is a
global health organization committed to strengthening integrated health systems
around the world and expanding access to care and treatment for HIV/AIDS,
malaria and other illnesses. Based on t
he premise that business oriented
strategy can facilitate solutions to global health challenges, CHAI acts as a
catalyst to mobilize new resources and optimize the impact of these resources
to save lives, via improved organization of commodity markets and more
effective local management. By working in association with governments and
other NGO partners, CHAI is focused on large scale impact and, to date, CHAI
has secured lower pricing agreements for treatment options in more than 70
countries. In addition, CHAI’s teams are working side-by-side with over 30
governments to tackle many of the largest barriers to effective treatment and
care.
CHAI’s health
financing program is working with 10 of these countries to support Ministries
of Health to substantially and sustainably improve access to essential health
services for their populations. Health financing is often insufficient and
overly reliant on donors and individuals paying out of pocket at facilities.
Low income countries in Africa and South East Asia see over half of the global
disease burden, are home to 40% of the global population and account for only
3% of health spending. Donor contributions for health have plateaued, and in
many countries are likely to decline in the coming years. Domestic resources for
health are increasing, but the rate of growth in government spending dedicated
to health fluctuates and is often insufficient to meet population needs. In
addition, resources that are made available may not be spent efficiently.
Healthcare providers face stock-outs, ration services among patients and charge
informal or formal user fees, which can act as a deterrent for patients, and
particularly the poor, to seek care.