Program

Published: Oct 30, 1999

Southern Africa Grantmakers’ Affinity Group: The Role of U.S. Grantmakers in a Changing Region

November 10-12, 1999 Westfields Marriott, Chantilly, Virginia Introduction

Southern Africa has had its share of turmoil and dramatic change. Although South Africa has over the past five years established itself as a shining example of democracy and Mozambique has transformed its economy and government shattered by nearly a decade of civil war, the situation is not as favorable throughout the region.

Peace efforts in Angola have disintegrated; political and human rights are under threat in Zimbabwe; regional armies stepped in to stabilize Lesotho; trade unions and activist groups press for greater democratic rights in Swaziland. Besides the continuing political challenges, the historical social and economic development needs are compounded by an accelerating HIV/AIDS epidemic which threatens to decimate the region.

Proposal

Private U.S. funders have played a long running and important role in the transformation of the region. The question in the present context, however, is how effective can grantmakers and donors be in this changing environment? Is the political environment conducive to sustainable progress on social and economic needs? What are the prospects for civil society in the region? Will all our efforts be swamped by the AIDS catastrophe? How do we work effectively with regional governments, non-governmental organizations and the private sector? How can private funders better leverage their resources and impact?

As part of an on-going series of meetings designed to foster U.S.-Southern Africa independent sectors linkages, the Affinity Group plans to hold a 2-day workshop to examine these pertinent questions and to exchange practical ideas about increasing the collective effectiveness of private U.S. funders in southern Africa. The emphasis will be on real examples of effective grantmaking, program interventions and case studies of private-public collaboration and partnerships, as well as prospects for increasing U.S-southern African linkages.

The workshop will include an opportunity to engage in discussion with resource persons from southern Africa, as well as high level representatives of U.N. agencies, the World Bank, and U.S. government.

Proposed Discussion Topics

  • Southern Africa in the post-Mandela era: Political, Economic and Social Challenges
  • What Lessons Have Private Funders Learned in Southern Africa?
  • Case Studies of Effective Grantmaking
  • Collaborating with Bi-Lateral and International Donor Organizations
  • Investment Driven Grantmaking
  • The Prospects for Civil Society: Examining The Enabling Environment
  • Examining Practical Examples of Public-Private Partnerships
  • Developing Partnerships between funders, government and non-government organizations
  • The Sustainability Conundrum: Indigenous Philanthropy, Endowments
  • The HIV/AIDS Epidemic: Implications and Responses
  • Making the Affinity Group a more Effective Resource

Outcome

It is anticipated that participants will come up with a viable plan of action for the way forward to effective grantmaking. This will include drawing up a practical outline/timetable for implementing the recommendations reached at the end of the workshop.

Sources of Financing and the Level of Health Spending for Native Americans

Published: Oct 30, 1999

This study of Native Americans health care funding and expenditures includes the following: An analysis of all sources of financing and the level of total health expenditures by and on behalf of Native Americans, a detailed analysis of the same data for each of the 12 Indian Health Service areas across the country, an estimate of per-capita spending for health services to Native Americans overall, an illustration of the tribal discrepancies in per capita spending and a projection of the increased cost if Native Americans were provided with a typical employment-based insurance benefits package.

Reauthorization of the Indian Health Care Improvement Act: Background and Issues

Published: Oct 30, 1999

An analysis of issues affecting reauthorization of the Indian Health Care Improvement Act. The study examines the historical impact and effectiveness of the current law, its relevance in the context of the contemporary health environment and the issues pertinent to discussions about reauthorization of the Act.

Welfare Policy and Reproductive Health:

Published: Oct 30, 1999

“Capping” a Family’s Benefits

Policy makers have long grappled with the complex questions of how to reduce poverty and promote economic self-sufficiency among the poor. Recent efforts have focused on how to influence key behaviors such as the decision to have children outside of marriage. One common legislative proposal has been to eliminate the traditional incremental increase in monthly benefits families typically receive after another child is born. This policy has been dubbed a “family cap” or “child exclusion.” This issue brief reviews federal and state laws related to the family cap and summarizes existing research findings about the impact of these policies on birth rates, abortion, and contraceptive use. It also examines public opinion on the subject.

Options for Expanding Health Insurance Coverage: Report on a Policy Roundtable

Published: Oct 2, 1999

This paper is a summary of a 1999 policy conference, The Kaiser Incremental Health Reform Project, which highlighted both the policy and politics of incrementalism. This paper identifies issues and tradeoffs associated with alternative approaches to expanding health insurance coverage-including enactment and implementation of CHIP and further coverage expansions through public programs and tax credits for the purchase of private health insurance.

Insurance Market Reforms and the Individual Insurance Marketplace: Implications for Coverage Expansions

Published: Oct 2, 1999

Proposals that attempt to expand coverage in the private individual insurance market will only work if private insurance is available and affordable. This paper describes how the current individual marketplace will affect the ability of such proposals to assure equitable access to affordable coverage. This paper is part of the Kaiser Incremental Health Reform Project.

Medicaid and Welfare Reform: States’ Use of the $500 Million Federal Fund

Published: Oct 2, 1999

This report reviews how states have responded to the $500 million federal fund that was created by the federal welfare reform legislation in 1996 to help states maintain Medicaid coverage for individuals affected by welfare reform. State Medicaid officials were asked whether they have drawn down federal funds from the $500 million fund; to describe the factors that influenced their decision; and what activities they are supporting with the additional federal monies. The paper describes the current status of the $500 million fund and highlights how states are using this new funding.

The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance

Published: Oct 2, 1999

The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance

This paper estimates and compares the impacts of alternative mechanisms for expanding health insurance coverage. A variety of approaches-expansions of existing public programs, direct subsidies, and tax credits-and target populations-including children, poor adults, parents of Medicaid- or CHIP-covered children, and early retirees-are considered. The impacts of the proposals on coverage, costs and other program outcomes are compared. This paper is part of the Kaiser Incremental Health Reform Project.

Medicare Buy-In Proposal

Published: Oct 1, 1999

Americans at the end of their working lives are increasingly facing greater uncertainty regarding health insurance and hence access to health care. This paper describes a proposal that would allow older persons not yet eligible for Medicare (under age 65) to “buy into” Medicare coverage.

This paper is part of the Kaiser Incremental Health Reform Project.

 

 

 

 

 

 

 

 

 

 

 

 

 

An Assessment of Strategies for Expanding Health Insurance Coverage

Published: Oct 1, 1999

This paper provides a conceptual analysis of alternative mechanisms (tax credits, public programs, and direct subsidies) for expanding health insurance coverage. The paper, which is part of the Kaiser Incremental Health Reform Project, discusses the likely impacts alternative approaches on a variety of outcomes including efficiency in increasing coverage and integration with existing insurance systems.