| Author: Landis MacKellar |
| InfoShare Partner: OECD Development Centre |
| Publication Date: June 2005 |
| Update Date: May 2006 |
| Type of Document: Article/Report/Paper |
| Topics: Financing/management, HIV/AIDS, general, Policy/Law |
| Region: Global |
| Language: English |
| Additional information: Comments on this paper should be send to dev.contact@oecd.org .
The Development Centre has for some years been at the forefront of the debates on aid effectiveness in poverty reduction, on the appropriate governance of development finance and on the importance of financial-resource alignment to recipient countries’ priorities. This working paper addresses these issues as they relate to health sector financing. It is particularly timely in light of the continued spread of HIV/AIDS, the acuteness of health risks from infectious diseases and the increased focus policy makers have placed, in the context of the Millennium Development Goals, on improving health conditions for the poor. International development assistance directed towards health falls far short of needs. Priority setting is therefore all-important. This study takes a close look at aid allocations for health and reaches three major conclusions: The increased share of ODA from OECD donors devoted to health in recent years has essentially been a response to the HIV/AIDS crisis. With the exception of infectious disease control, other health assistance has lost weight in total ODA, as have the major pro-poor areas of health intervention. Second, resource allocations towards combating HIV/AIDS and to a lesser degree improving reproductive health are much higher than those that would have been expected had the “ burden of disease criterion” been used to set priorities, as measured by disability-adjusted life years lost due to any given disease. The implication of this finding is that nutritional deficiencies or injuries are not given the priority they deserve. Finally, there seems to be no clear relationship between the health-care priorities of poor-countries, as expressed in Poverty Reduction Strategy Papers, and health-related ODA. This last finding demonstrates that improving the alignment between health assistance and recipient-country priorities remains an important challenge for donor countries. www.oecd.org/dev/ |
| Number of Pages: 41 |
| File Size: 531 KB |
| File Format: Adobe Acrobat (PDF) To read PDF files, you must have Acrobat Reader installed. Visit Adobe's web site to get a free copy of Acrobat Reader. [download here]
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Health has emerged as a key area of development as donors increasingly recognise the link between poor health and poverty. This has been most apparent in the fight against HIV/AIDS. Setting the right priority is still crucial in situations where available resources fall far short of actual health needs.
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