Donor Trends In International Health

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Donor Trends In International Health

• American Public Health Association
• Washington, D.C.
• November 6-10, 2004
• Duff Gillespie

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Official Development Assistance Unadjusted in US
Billions
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Percent of ODA Devoted to Health, 2002

• DAC US
• Health 4.8 5.6
• of which basic health 2.7 5.5
• Population 3.5 10.6
• 8.3 15.5

Source PECD-DAC
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Percent of donors Assistance Allocated to
Multilateral Institutions and Programs
Source OECD/DAC Database, cited in Birdsall,
Nomg, New Issues in Development Assistance,
World Banh,
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Top Ten Recipients of Gross ODA/OA (USD million)

1. Egypt 919
2. Russia (OA) 813
3. Israel (OA) 529
4. Pakistan 494
5. Serbia Montenegro 353
6. Columbia 330
7. Ukraine (OA) 257
8. Jordan 225
9. Peru 188
10. Afghanistan 188

Source OECD
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Percent of Bilateral Recipients Receiving Less
Than 1 Percent of Total Aid 1990-2001 Average
Australia 82 Canada 73 Denmark 82 Fin
land 76 France 87 Germany 76 Ireland
84 Italy 90 Japan 90 Netherlands 76
Norway 76 Portugal 88 Sweden 75 Switze
rland 70 United Kingdom 83 United
States 87
Source Acharya, De Lima Moore (2003) The
Proliferators Institute of Development Studies
cited in Birdsall, Nomg, New Issues in
Development Assistance, World Banh, October 4,
2004
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Funding and Strategic Planning Mechanisms Are
Many

• Bilateral
• Multilateral
• Loans
• International Partnership
• Swaps
• PRSP
• Direct Budget Support
• Millennium Development Goals
• United States
• HHS
• CDC
• NIH
• State
• USAID-HIV/AIDS
• Millennium Challenge Conformation
• USAID

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CONCLUDING ISSUES

• ODA Increase have not kept pass with needs and
  International Goals

• Competition for ODA is Increasing
• Geo-Political
• Development
• Numerous Development Mechanisms (Industry)
• Transaction Cost Significant for Donors and
  Recipients
• No Critical Mass of Resources for Scalingup