PHM-Exch> Global health funding: how much, where it comes from and where it goes

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from: EQUIDAD at listserv.paho.org


 *Global health funding: how much, where it comes from and where it goes*


David McCoy1,*, Sudeep Chand1 and Devi Sridhar2

1University College London, Centre for International Health and Development,
London, United Kingdom.

2University of Oxford, Department of Politics and International Relations,
All Souls College, Oxford, United Kingdom.

*Published by Oxford University Press in association with The London School
of Hygiene and Tropical Medicine *

 Abstract at: http://heapol.oxfordjournals.org/cgi/content/full/czp026

 “…..Global health funding has increased in recent years. This has been
accompanied by a proliferation in the number of global health actors and
initiatives. This paper describes the state of global heath finance, taking
into account government and private sources of finance, and raises and
discusses a number of policy issues related to global health governance.

 A schematic describing the different actors and three global health finance
functions is used to organize the data presented, most of which are
secondary data from the published literature and annual reports of relevant
actors. In two cases, we also refer to currently unpublished primary data
that have been collected by authors of this paper. Among the findings are
that the volume of official development assistance for health is frequently
inflated; and that data on private sources of global health finance are
inadequate but indicate a large and important role of private actors.

The fragmented, complicated, messy and inadequately tracked state of global
health finance requires immediate attention. In particular it is necessary
to track and monitor global health finance that is channelled by and through
private sources, and to critically examine who benefits from the rise in
global health spending…..”

 K*EY MESSAGES*

 It is frequently stated that global health funding has increased
dramatically over the past decade. However, there are inadequate data to
describe the precise volume of global health expenditure; the source of this
funding; its management; and how it is spent.

 A detailed description of global health funding is needed to improve the
efficiency, accountability, performance and equity-impact of the many actors
that populate the global health landscape.

 In particular, it is necessary to track and monitor the activities of
non-OECD donors as well as the funding that is sourced by and channelled
through private actors.
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