Foreign aid for health and development
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
Health improvements in the
decade from 2000 to 2010 by
total health aid quartile
FUNDING SOURCES
• 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
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
US Foreign Aid top 10 request FY 2011
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
The real value of aid?
(Crisp 2010)
Real
value
Value on
paper
•
Trade/mining
concessions
•
Debt repayment
Channeling aid back to donor country
Country recipient
US$200,000
Typical annual cost for
Multiple donors, multiple requirements,
WHO 2 year budget*
2006/2007 2012/2013
The end of the golden era for global health?
Private donation*
0
2008 2011
NGO & FBO spending*
0
2008 2010
