TY - JOUR
T1 - Aid alignment
T2 - A longer term lens on trends in development assistance for health in Uganda
AU - Stierman, Elizabeth
AU - Ssengooba, Freddie
AU - Bennett, Sara
N1 - Funding Information:
The authors’ estimates of total DAH are based upon either NHA expenditures or CRS disbursements, depending on the year, plus an estimate of the share of the government’s health budget financed through budget support, both GBS and SBS-PAF (Additional file 1). On-budget project support is the amount of project support recorded on the MTEF. Off-budget project support was estimated by subtracting the amount of on-budget project support from the amount of total project support reported within NHA or the CRS. The amount of GBS provided to the health sector was estimated by multiplying total GBS by the proportion of the government’s budget allocated for health. SBS-PAF was calculated in a similar manner: multiplying total donor contributions to the PAF by the proportion of the PAF budget allocated for health. Donor contributions include both earmarked and non-earmarked grants. Since some grants earmarked for health are already included within CRS estimates, these funds were subtracted from the authors’ estimate of total DAH to avoid double-counting.
PY - 2013/2/20
Y1 - 2013/2/20
N2 - 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.
AB - 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.
KW - Foreign aid
KW - Health financing
KW - Health policy
KW - International cooperation
KW - Paris declaration
KW - Sector-wide approach
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U2 - 10.1186/1744-8603-9-7
DO - 10.1186/1744-8603-9-7
M3 - Article
C2 - 23425287
AN - SCOPUS:84873973821
SN - 1744-8603
VL - 9
JO - Globalization and health
JF - Globalization and health
IS - 1
M1 - 7
ER -