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Do Sector Wide Approaches for health aid delivery lead to ‘donor-flight’? A comparison of 46 low-income countries

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  • Sweeney, Rohan
  • Mortimer, Duncan
  • Johnston, David W.

Abstract

Sector Wide Approaches (SWAp) emerged during the 1990s as a new policy mechanism for aid delivery. Eschewing many features of traditional project-based aid, SWAps give greater control of aid allocation to recipient countries. Some critics have questioned whether reducing a donor's level of influence over aid allocation might lead to a decrease in donor contributions. While some qualitative evaluations have described the level of fund pooling and donor participation in SWAps, no previous study has empirically examined this potential ‘donor-flight’ response to health SWAp implementation. This paper utilises a uniquely compiled dataset of 46 low-income countries over 1990–2009 and a variety of panel data regression models to estimate the impact of health SWAp implementation on levels of health aid. Results suggest that amongst 16 especially poor low-income countries, SWAp implementation is associated with significant decreases in health aid levels compared with non-implementers. This suggests donors are not indifferent to how their contributions are allocated by recipients, and that low-income countries considering a SWAp may need to weigh the benefits of greater control of aid allocations against the possibility of reduced aid income.

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Bibliographic Info

Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 105 (2014)
Issue (Month): C ()
Pages: 38-46

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Handle: RePEc:eee:socmed:v:105:y:2014:i:c:p:38-46

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Related research

Keywords: Sector Wide Approach; Development assistance for health; Aid coordination; Aid harmonisation; Official development assistance; Health financing; Developing countries;

References

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