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

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  • Moon, Suerie
  • Omole, Oluwatosin

Abstract

After 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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  • Moon, Suerie & Omole, Oluwatosin, 2017. "Development assistance for health: critiques, proposals and prospects for change," Health Economics, Policy and Law, Cambridge University Press, vol. 12(2), pages 207-221, April.
    • Handle: RePEc:cup:hecopl:v:12:y:2017:i:02:p:207-221_00
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    Cited by:

    1. Williams, Christopher, 2021. "Global human burden and official development assistance in health R&D: The role of medical absorptive capacity," Research Policy, Elsevier, vol. 50(10).
    2. Catherine M. Jones & Carole Clavier & Louise Potvin, 2020. "Policy processes sans frontières: interactions in transnational governance of global health," Policy Sciences, Springer;Society of Policy Sciences, vol. 53(1), pages 161-180, March.
    3. Josephine Borghi & Garrett W. Brown, 2022. "Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19," Global Policy, London School of Economics and Political Science, vol. 13(2), pages 193-207, May.

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