Commitment to Action

Using Technology to Promote Equity in Health Financing

Commitment by


In December 2008, Heartfile and the Rockefeller Foundation committed to develop a scalable, IT enabled, philanthropy-supported, cash-transfer-centered social protection pilot project in Pakistan. The project aims to develop an efficient system to protect the poor against catastrophic expenditures on health. More than 70% of Pakistan's population is at risk of generating highly expensive health care bills. This project offers unprecedented advantages in targeting social protection funds by ensuring greater transparency and helping institutionalize accountability. Its innovations include integration of mobile phone with a web-based application, the capability to instruct age, gender, disease and region specific donations, the capability to be responsive to demands, on a real time basis, and its ability to update donors about utilization of their funds on a micro-transaction basis. The platform is being used to assist patients in need in Pakistan. The potential of the project to be scaled-up rapidly makes it highly relevant for a majority of people in developing countries who spend out-of-pocket costs to seek healthcare and run the risk of impoverishment.
The project's concept, technological scope, and design have been shared at three international conferences to-date in to solicit peer opinions in order to hone the strategy and share experiences. Its proof of concept has been published as a background paper in World Health Report 2010. The paper can be accessed at: In addition, the project was featured as an innovative model at the United Nations' ECOSOC Innovation Fair in Geneva in July 2009. To date, the commitment has impacted 1000 lives.





Using Technology to Promote Equity in Health Financing



Est. Duration

1 year

Estimated Total Value






Commitment by