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Stakeholder perceptions of aid coordination implementation in the Zambian health sector


  • Sundewall, Jesper
  • Jönsson, Kristina
  • Cheelo, Caesar
  • Tomson, Göran


In this study, we analysed stakeholder perceptions of the process of implementing the coordination of health-sector aid in Zambia, Africa. The aim of coordination of health aid is to increase the effectiveness of health systems and to ensure that donors comply with national priorities. With increases in the number of donors involved and resources available for health aid globally, the attention devoted to coordination worldwide has risen. While the theoretical basis of coordination has been relatively well-explored, less research has been carried out on the practicalities of how such coordination is to be implemented. In our study, we focused on potential differences between the views of the stakeholders, both government and donors, on the systems by which health aid is coordinated. A qualitative case study was conducted comprising interviews with government and donor stakeholders in the health sector, as well as document review and observations of meetings. Results suggested that stakeholders are generally satisfied with the implementation of health-sector aid coordination in Zambia. However, there were differences in perceptions of the level of coordination of plans and agreements, which can be attributed to difficulties in harmonizing and aligning organizational requirements with the Zambian health-sector plans. In order to achieve the aims of the Paris Declaration; to increase harmonization, alignment and ownership - resources from donors must be better coordinated in the health sector planning process. This requires careful consideration of contextual constraints surrounding each donor.

Suggested Citation

  • Sundewall, Jesper & Jönsson, Kristina & Cheelo, Caesar & Tomson, Göran, 2010. "Stakeholder perceptions of aid coordination implementation in the Zambian health sector," Health Policy, Elsevier, vol. 95(2-3), pages 122-128, May.
  • Handle: RePEc:eee:hepoli:v:95:y:2010:i:2-3:p:122-128

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    References listed on IDEAS

    1. Sundewall, Jesper & Sahlin-Andersson, Kerstin, 2006. "Translations of health sector SWAps--A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh," Health Policy, Elsevier, vol. 76(3), pages 277-287, May.
    2. Pfeiffer, James, 2003. "International NGOs and primary health care in Mozambique: the need for a new model of collaboration," Social Science & Medicine, Elsevier, vol. 56(4), pages 725-738, February.
    3. Buse, Kent & Walt, Gill, 1996. "Aid coordination for health sector reform: a conceptual framework for analysis and assessment," Health Policy, Elsevier, vol. 38(3), pages 173-187, December.
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    Cited by:

    1. Lettieri, Emanuele & Bartoli, Laura & Masella, Cristina, 2013. "Coordinating intra-sector services in healthcare: Requirements and elements that managers should take into account," European Management Journal, Elsevier, vol. 31(6), pages 591-601.
    2. repec:bla:devpol:v:35:y:2017:i:6:p:779-795 is not listed on IDEAS
    3. Pallas, Sarah Wood & Ruger, Jennifer Prah, 2017. "Effects of donor proliferation in development aid for health on health program performance: A conceptual framework," Social Science & Medicine, Elsevier, vol. 175(C), pages 177-186.


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