Aid alignment: a longer term lens on trends in development assistance for health in Uganda

Globalization and Health

Sara Bennett¹  Freddie Ssengooba³  Elizabeth Stierman² 

[1] Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe St, Baltimore, MD 21205, USA;Primary author, P.O. Box 38086, Lusaka, Zambia;Makerere University School of Public Health, MaKSPH Bld, Mulago Hill Road, P.O. Box 7072, Kampala, Uganda

关键词: Paris declaration;    Sector-wide approach;    Health financing;    Health policy;    International cooperation;    Foreign aid;   

Others  :  819369
DOI  :  10.1186/1744-8603-9-7

 received in 2012-04-26, accepted in 2013-02-05,  发布年份 2013

【 摘 要 】

Background

Over the past decade, development assistance for health (DAH) in Uganda has increased dramatically, surpassing the government’s own expenditures on health. Yet primary health care and other priorities identified in Uganda’s health sector strategic plan remain underfunded.

Methods

Using data available from the Creditor Reporting System (CRS), National Health Accounts (NHA), and government financial reports, we examined trends in how donors channel DAH and the extent to which DAH is aligned with sector priorities. The study follows the flow of DAH from the donor to the implementing organization, specifying the modality used for disbursing funds and categorizing funds based on program area or support function.

Findings

Despite efforts to improve alignment through the formation of a sector-wide approach (SWAp) for health in 1999 and the creation of a fund to pool resources for identified priorities, increasingly DAH is provided as short-term, project-based support for disease-specific initiatives, in particular HIV/AIDS.

Conclusion

These findings highlight the need to better align external resources with country priorities and refocus attention on longer-term sector-wide objectives.

【 授权许可】

   
2013 Stierman et al; licensee BioMed Central Ltd.

【 图 表 】

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