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Is Development Assistance for Health fungible? Findings from a mixed methods case study in Tanzania

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  • Martínez Álvarez, Melisa
  • Borghi, Josephine
  • Acharya, Arnab
  • Vassall, Anna

Abstract

The amount of Development Assistance for Health (DAH) available to low- and middle-income countries has increased exponentially over the past decade. However, there are concerns that DAH increases have not resulted in increased spending on health at the country level. This is because DAH may be fungible, resulting from the recipient government decreasing its contribution to the health sector as a result of external funding. The aim of this research is to assess whether DAH funds in Tanzania are fungible, by exploring government substitution of its own resources across sectors and within the health sector.

Suggested Citation

  • Martínez Álvarez, Melisa & Borghi, Josephine & Acharya, Arnab & Vassall, Anna, 2016. "Is Development Assistance for Health fungible? Findings from a mixed methods case study in Tanzania," Social Science & Medicine, Elsevier, vol. 159(C), pages 161-169.
    • Handle: RePEc:eee:socmed:v:159:y:2016:i:c:p:161-169
    DOI: 10.1016/j.socscimed.2016.05.006
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    References listed on IDEAS

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    Cited by:

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    2. Rana, Zunera & Koch, Dirk-Jan, 2020. "Why fungibility of development aid can be good news: Pakistan case study," World Development Perspectives, Elsevier, vol. 20(C).
    3. Han, Lu & Koenig-Archibugi, Mathias & Opsahl, Tore, 2018. "The social network of international health aid," Social Science & Medicine, Elsevier, vol. 206(C), pages 67-74.
    4. Zunera Ahmad Rana & Dirk‐Jan Koch, 2022. "What happens to aid fungibility when the recipient government takes control? Effects of aid ownership in Rwanda," Development Policy Review, Overseas Development Institute, vol. 40(5), September.

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