IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v159y2016icp161-169.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953616302167
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2016.05.006?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hennie Boeije, 2002. "A Purposeful Approach to the Constant Comparative Method in the Analysis of Qualitative Interviews," Quality & Quantity: International Journal of Methodology, Springer, vol. 36(4), pages 391-409, November.
    2. repec:unu:wpaper:wp2012-68 is not listed on IDEAS
    3. David Locke Newhouse & Ms. Prachi Mishra, 2007. "Health Aid and Infant Mortality," IMF Working Papers 2007/100, International Monetary Fund.
    4. Joseph L. Dieleman & Casey M. Graves & Michael Hanlon, 2013. "The Fungibility of Health Aid: Reconsidering the Reconsidered," Journal of Development Studies, Taylor & Francis Journals, vol. 49(12), pages 1755-1762, December.
    5. Wagstaff, Adam, 2011. "Fungibility and the impact of development assistance: Evidence from Vietnam's health sector," Journal of Development Economics, Elsevier, vol. 94(1), pages 62-73, January.
    6. World Bank, 2011. "United Republic of Tanzania - Public Expenditure Review 2010," World Bank Publications - Reports 2789, The World Bank Group.
    7. Nicolas Van de Sijpe, 2013. "Is Foreign Aid Fungible? Evidence from the Education and Health Sectors," The World Bank Economic Review, World Bank, vol. 27(2), pages 320-356.
    8. Jan Pettersson, 2007. "Foreign sectoral aid fungibility, growth and poverty reduction," Journal of International Development, John Wiley & Sons, Ltd., vol. 19(8), pages 1074-1098.
    9. Sajal Lahiri & Pascalis Raimondos‐Møller, 2004. "Donor Strategy under the Fungibility of Foreign Aid," Economics and Politics, Wiley Blackwell, vol. 16(2), pages 213-231, July.
    10. Pack, Howard & Pack, Janet Rothenberg, 1993. "Foreign Aid and the Question of Fungibility," The Review of Economics and Statistics, MIT Press, vol. 75(2), pages 258-265, May.
    11. Leiderer, Stefan, 2012. "Fungibility and the Choice of Aid Modalities," WIDER Working Paper Series 068, World Institute for Development Economic Research (UNU-WIDER).
    12. Mark McGillivray & Oliver Morrissey, 2000. "Aid fungibility in Assessing Aid: red herring or true concern?," Journal of International Development, John Wiley & Sons, Ltd., vol. 12(3), pages 413-428, April.
    13. Stefan Leiderer, 2012. "Fungibility and the Choice of Aid Modalities," WIDER Working Paper Series wp-2012-068, World Institute for Development Economic Research (UNU-WIDER).
    14. Harper, Sarah E., 2012. "The Fungibility of Aid Earmarked for HIV/AIDS Control Programs," World Development, Elsevier, vol. 40(11), pages 2263-2274.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Iyabo Adeola Olanrele & Segun Subair Awode, 2020. "Development Aid and Human Capital Development in Nigeria: A Sector Level-Analysis," Asian Journal of Economics and Empirical Research, Asian Online Journal Publishing Group, vol. 7(1), pages 25-35.
    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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).
    2. Łukasz Marć, 2015. "The impact of aid on total government expenditures: New evidence on fungibility," WIDER Working Paper Series wp-2015-010, World Institute for Development Economic Research (UNU-WIDER).
    3. 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.
    4. Łukasz Marć, 2017. "The Impact of Aid on Total Government Expenditures: New Evidence on Fungibility," Review of Development Economics, Wiley Blackwell, vol. 21(3), pages 627-663, August.
    5. repec:unu:wpaper:wp2012-69 is not listed on IDEAS
    6. Arnab Acharya & Melisa Martínez-Álvarez, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series wp-2012-069, World Institute for Development Economic Research (UNU-WIDER).
    7. Joseph L. Dieleman & Michael Hanlon, 2014. "Measuring The Displacement And Replacement Of Government Health Expenditure," Health Economics, John Wiley & Sons, Ltd., vol. 23(2), pages 129-140, February.
    8. Acharya, Arnab & Martínez-Álvarez, Melisa, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series 069, World Institute for Development Economic Research (UNU-WIDER).
    9. repec:unu:wpaper:wp2012-01 is not listed on IDEAS
    10. Karim Barkat & Zouhair Mrabet & Mouyad Alsamara, 2016. "Does Official Development Assistance for health from developed countries displace government health expenditure in Sub-Saharan countries?," Economics Bulletin, AccessEcon, vol. 36(3), pages 1616-1635.
    11. Lukasz Marc, 2012. "New Evidence on Fungibility at the Aggregate Level," Tinbergen Institute Discussion Papers 12-083/2, Tinbergen Institute.
    12. Morrissey, Oliver, 2015. "Aid and Government Fiscal Behavior: Assessing Recent Evidence," World Development, Elsevier, vol. 69(C), pages 98-105.
    13. Langlotz, Sarah & Potrafke, Niklas, 2019. "Does development aid increase military expenditure?," Journal of Comparative Economics, Elsevier, vol. 47(3), pages 735-757.
    14. Oliver Morrissey, 2012. "Aid and Government Fiscal Behaviour: What Does the Evidence Say?," WIDER Working Paper Series wp-2012-001, World Institute for Development Economic Research (UNU-WIDER).
    15. Minoiu, Camelia & Reddy, Sanjay G., 2010. "Development aid and economic growth: A positive long-run relation," The Quarterly Review of Economics and Finance, Elsevier, vol. 50(1), pages 27-39, February.
    16. Morrissey, Oliver, 2012. "Aid and Government Fiscal Behaviour: What Does the Evidence Say?," WIDER Working Paper Series 001, World Institute for Development Economic Research (UNU-WIDER).
    17. Patrick Guillaumont & Laurent Wagner, 2014. "Aid Effectiveness for Poverty Reduction: Lessons from Cross‑country Analyses, with a Special Focus on Vulnerable Countries," Revue d’économie du développement, De Boeck Université, vol. 22(HS01), pages 217-261.
    18. Eugenie W. H. Maïga, 2014. "Does Foreign Aid in Education Foster Gender Equality in Developing Countries?," WIDER Working Paper Series wp-2014-048, World Institute for Development Economic Research (UNU-WIDER).
    19. Prabal Roy Chowdhury & Jaideep Roy, 2011. "Aid in times of terror," Discussion Papers 11-08, Indian Statistical Institute, Delhi.
    20. Seim, Brigitte & Jablonski, Ryan & Ahlbäck, Johan, 2020. "How information about foreign aid affects public spending decisions: Evidence from a field experiment in Malawi," Journal of Development Economics, Elsevier, vol. 146(C).
    21. Wagstaff, Adam, 2011. "Fungibility and the impact of development assistance: Evidence from Vietnam's health sector," Journal of Development Economics, Elsevier, vol. 94(1), pages 62-73, January.
    22. Maiga, Eugenie W.H., 2014. "Does foreign aid in education foster gender equality in developing countries?," WIDER Working Paper Series 048, World Institute for Development Economic Research (UNU-WIDER).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:159:y:2016:i:c:p:161-169. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.