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 90,000,0002007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Budget Gap Analysis by Source of Funding
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
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
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
US$200,000
Typical annual cost for
The end of the golden era for global health?
Private donation*
0 500 1000 1500 2000 2500 2008 2011NGO & FBO spending*
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
The Paris Declaration
Principle
Description
Ownership
Developing countries exercise leadership over their development policies and plansAlignment
Do ors ase their support o ou tries’ development strategies and systemsHarmonisation
Donors co-ordinate their activities and minimise the cost of delivering aidManaging for results
Developing countries and donors orient their activities to achieve the desired resultsMutual
accountability
