Development assistance for health: critiques, proposals and prospects for change

Suerie Moon; Oluwatosin Omole

doi:10.1017/s1744133116000463

journal article Open Access Mar 23, 2017

Development assistance for health: critiques, proposals and prospects for change

Suerie Moon Oluwatosin Omole

Health Economics, Policy and Law Vol. 12 No. 2 pp. 207-221 · Cambridge University Press (CUP)

View at Publisher Save 10.1017/s1744133116000463

Abstract

AbstractAfter a ‘golden age’ of extraordinary growth in the level of development assistance for health (DAH) since 1990, funding seems to have reached a plateau. With the launch of the Sustainable Development Goals, debate has intensified regarding what international financing for health should look like in the post-2015 era. In this review paper, we offer a systematic overview of problems and proposals for change. Major critiques of the current DAH system include: that the total volume of financing is inadequate; financial flows are volatile and uncertain; DAH may not result in additional resources for health; too small a proportion of DAH is transferred to recipient countries; inappropriate priority setting; inadequate coordination; weak mechanisms for accountability; and disagreement on the rationale for DAH. Proposals to address these critiques include: financing-oriented proposals to address insufficient levels and high volatility of DAH; governance-oriented proposals to address concerns regarding additionality, proportions reaching countries, priority setting, coordination and accountability; and proposals that reach beyond the existing DAH system. We conclude with a discussion of prospects for change.

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Published: Mar 23, 2017
Vol/Issue: 12(2)
Pages: 207-221
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Cite This Article

Suerie Moon, Oluwatosin Omole (2017). Development assistance for health: critiques, proposals and prospects for change. Health Economics, Policy and Law, 12(2), 207-221. https://doi.org/10.1017/s1744133116000463

Development assistance for health: critiques, proposals and prospects for change

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