Development impact bonds could be part of the solution to financing child survival

By Andrew Wainer 04 September 2015

A mother and her baby. What new sources of financing can be tapped in achieving the reduction of preventable child deaths? Photo by: USAID Indonesia

One of the world’s great development achievements in the past 25 years has been the reduction in preventable child deaths. In 1990, 12.7 million children under age 5 died of preventable causes. By 2013 the number was reduced to less than half of that — 6.3 million. By some measures, 100 million children survived over the past 20 years due to the global focus on reducing child mortality.

The vision of an end to preventable child deaths by 2030 is now inscribed in the sustainable development goals to be ratified at the United Nations later this month. But in spite of this momentum, without new sources of financing, it will be difficult to achieve this goal as the United States and other nations have pledged. The private sector is one of the largest potential sources of additional funding that will need to be tapped to achieve this goal.

This summer, the U.S. Senate took an initial step toward tapping into new development funding through the introduction of the Reach Every Mother and Child Act of 2015. The bill — introduced by Sens. Susan Collins, Republican from Maine, and Chris Coons, Democrat from Delaware — requires the administration to develop an innovative financing framework that leverages financing from the private sector, among other sources.

Innovative finance is a broad category that includes an array of tools, including development credit authorities and advance market commitments. One of the most widely discussed emerging innovative finance tools is impact bonds.

Impact bonds are divided into two major categories, depending on where they are implemented:

● In developed nations they are known as social impact bonds or SIBs.

● In developing nations they are known as development impact bonds or DIBs.

Both types of bonds use similar models and are complex. Essentially, they are program financing models that ensure that public funds are not spent on unsuccessful programs. Public funds are only spent if programs are proven to be effective by independent evaluators. If they are not, the cost is picked up by a predetermined guarantor, such as a foundation, corporation, private equity fund or a high-net-worth individual.

Governments, foundations, universities and even private investors have expressed interest in development impact bonds. In addition to the framework mandated by the Collins-Coons bill, the U.S. Agency for International Development recently launched a child and maternal health financing framework in which DIBs play a significant role. The Reach Every Mother and Child Act legislation would codify this framework.

Although they are still in their early stages, a July 2015 review of impact bonds by the Brookings Institution found grounds for optimism on their potential on several issues, including:

● Engaging private funding.

● Building a culture of monitoring and evaluation.

● Reducing risks for government.

DIBs are a promising potential tool to contribute to child survival, but they also require continued testing and experimentation. Particularly in the development realm, DIBs are in the very early stages. Only one DIB has been implemented: a girls’ education project in India. Before they are applied on a mass scale, impact should be tested in a range of country and programmatic contexts to learn where they can be applied for greatest benefit.

While we still don’t know where DIBs work best, there are dozens of DIBs and SIBs in the formation stage, and coming years will reveal their full potential.

Innovative financing is not a substitute for the traditional financing that USAID and other nations have provided in recent decades — to great success — in reducing child mortality. But without additional funding innovation and risk-taking to leverage traditional bilateral assistance, it will be difficult to achieve the elimination of eliminating preventable child deaths.

USAID’s new framework and the introduction of the Collins-Coons bill are hopeful signs that the U.S. government is embracing new approaches and tools required by the changing development finance landscape and the world’s ambitious 2030 sustainable development goals.  

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About the author

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Andrew Wainer@AndrewWainer

Andrew Wainer is director of policy research for Save the Children. He was formerly a senior immigration policy analyst at Bread for the World Institute, which provides policy analysis on hunger and strategies to end it. He has also worked as a journalist and social researcher in Latin America and the United States. Andrew’s research and journalism has appeared in the Los Angeles Times and the Wall Street Journal, among other publications. He holds a master’s degree in Latin American studies from UCLA and is fluent in Spanish and proficient in Portuguese.


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