Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US...
Transcript of Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US...
![Page 1: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/1.jpg)
Foreign aid for health and development
Yodi Mahendradhata
![Page 2: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/2.jpg)
Funding malaria control in Indonesia
-
10,000,000
20,000,000
30,000,000
40,000,000
50,000,000
60,000,000
70,000,000
80,000,000
90,000,000
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Budget Gap Analysis by Source of Funding
GAP
Proposed TFM
GF R8
GF R6
GF R1
Unicef
WHO
Local Government
Central Government
![Page 3: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/3.jpg)
![Page 4: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/4.jpg)
![Page 5: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/5.jpg)
Health improvements in the decade from 2000 to 2010 by total health aid quartile (Bendavid & Bhatyacharya 2014)
![Page 6: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/6.jpg)
Foreign aid and economic growth in Africa?
![Page 7: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/7.jpg)
FUNDING SOURCES
• National treasuries
• Debt repayments
• Private philanthropist
• Corporate donations
CHANNELS OF ASSISTANCE
• Bilateral development agencies
• European commission
• UN agencies• Development
banks• GFATM• GAVI• Foundations• International
NGOs
IMPLEMENTING INSTITUTIONS
• Ministries of health
• Health programs
• National NGOs• Private sector• Universities
and research bodies
Resource flow of foreign aid for health
![Page 8: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/8.jpg)
Health aid by origins
![Page 9: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/9.jpg)
Health aid as percentage of
national income
![Page 10: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/10.jpg)
Health aid by channel
![Page 11: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/11.jpg)
Funding of UN agencies
![Page 12: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/12.jpg)
Health aid geo distribution
![Page 13: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/13.jpg)
Health aid disease distribution
![Page 14: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/14.jpg)
Mortality vs donor funding
![Page 15: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/15.jpg)
DALYs vs donor funding
![Page 16: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/16.jpg)
National health budget vs donor (US$ million)
Country HIV prevalence National health budget
Donor commitment
(HIV)
Ethiopia 1.4% 113 130
Rwanda 3.1% 37 47
Uganda 6.7% 112 167
![Page 17: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/17.jpg)
US Foreign Aid top 10 request FY 2011
Afganistan
Pakistan
Israel
Egypt
Iraq
Kenya
Jordan
Nigeria
South Africa
Ethiopia
![Page 18: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/18.jpg)
The emerging donors: BRICS
![Page 19: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/19.jpg)
![Page 20: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/20.jpg)
![Page 21: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/21.jpg)
![Page 22: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/22.jpg)
![Page 23: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/23.jpg)
![Page 24: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/24.jpg)
![Page 25: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/25.jpg)
![Page 26: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/26.jpg)
![Page 27: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/27.jpg)
![Page 28: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/28.jpg)
![Page 29: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/29.jpg)
Foreign aid and economic growth in Africa?
![Page 30: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/30.jpg)
World Bank: Indonesia HIV/AIDS and STDs prevention and management project
Relevance Substantial
Efficiency Negligible
Efficacy Negligible
Outcome Unsatisfactory
Institutional development impact
Negligible
Sustainability Unlikely
Bank performance Unsatisfactory
Borrower performance Unsatisfactory
![Page 31: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/31.jpg)
The real value of aid? (Crisp 2010)
Real value
Value on paper
• Trade/mining concessions
• Debt repayment• Donor service
payment
![Page 32: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/32.jpg)
Channeling aid back to donor country
Country recipient
External technicalassistance
![Page 33: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/33.jpg)
US$200,000Typical annual cost for
international consultant (>1/3 for school fees and child allowance)
![Page 34: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/34.jpg)
![Page 35: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/35.jpg)
Hosting multiple donor missions…
![Page 36: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/36.jpg)
Limited integration with country system…
![Page 37: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/37.jpg)
Multiple donors, multiple requirements, multiple mechanisms….
![Page 38: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/38.jpg)
The global financial crisis?
![Page 39: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/39.jpg)
![Page 40: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/40.jpg)
![Page 41: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/41.jpg)
WHO 2 year budget*
0
1000
2000
3000
4000
5000
6000
2006/2007 2012/2013
*Figures in US$ million
![Page 42: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/42.jpg)
The end of the golden era for global health?
Private donation*
0
500
1000
1500
2000
2500
2008 2011
NGO & FBO spending*
0
500
1000
1500
2000
2500
3000
3500
4000
2008 2010
*Figures presented in US$ Million
![Page 43: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/43.jpg)
Conceptual framework of donor proliferation's hypothesized effects on health program performance: detailed view of individual effects*
*Pallas & Ruger (2017)
![Page 44: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/44.jpg)
Conceptual framework of donor proliferation's hypothesized effects on health program performance: overview*
*Pallas & Ruger (2017)
![Page 45: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/45.jpg)
7 deadly sins of donor agencies
Nr Sin Description
1 Impatience With institution building
2 Envy Collusion and coordination failure
3 Ignorance Failure to evaluate
4 Pride Failure to exit
5 Sloth Pretending participation = ownership
6 Greed Unreliable/stingy transfers
7 Foolishness Underfunding of global and regional public goods
![Page 46: Foreign aid for health and developmentweb90.opencloud.dssdi.ugm.ac.id/wp-content/uploads/... · US Foreign Aid top 10 request FY 2011 Afganistan Pakistan Israel Egypt Iraq Kenya Jordan](https://reader034.fdocuments.net/reader034/viewer/2022050114/5f4b6899a83bb1390a2d8dc5/html5/thumbnails/46.jpg)
The Paris Declaration
Principle Description
Ownership Developing countries exercise leadership over their development policies and plans
Alignment Donors base their support on countries’ development strategies and systems
Harmonisation Donors co-ordinate their activities and minimisethe cost of delivering aid
Managing for results Developing countries and donors orient their activities to achieve the desired results
Mutualaccountability
Donors and developing countries are accountable to each other for progress in managing aid better and in achieving development results