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<p class="MsoNormal" style="margin-right:0in;margin-bottom:12.0pt;margin-left:.5in;text-autospace:none"><b><font size="3" color="maroon" face="Arial"><span style="font-size:12.0pt;font-family:Arial;color:maroon;font-weight:bold">Seven Challenges in International Development Assistance for
Health and Ways Forward<br>
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</span></font></b><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy"></span></font></p>

<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">Devi Sridhar, Research Fellow in Politics at All
Souls College
and Director of the Global Health Governance Project, Oxford.</span></font></p>

<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy;font-weight:bold">Journal of Law, Medicine & Ethics –
Volume 38 Issue 3, Fall 2010<br>
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<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">Available online PDF [11p.] at: <span><a href="http://bit.ly/di5nu6" target="_blank"><font color="navy"><span style="color:navy">http://bit.ly/di5nu6</span></font></a></span> <br>

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<p class="MsoNormal" style="margin-left:.5in"><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">This paper outlines seven
challenges in development assistance for health, which in the current financial
context, have become even more important to address. These include the
following: <br>
(1) the proliferation of initiatives, focusing on specific diseases or issues,
as well as<br>
(2) the lack of attention given to reforming the existing focal health
institutions, the WHO and World Bank.<br>
(3) The lack of accountability of donors and their influence on
priority-setting are part of the reason that there is “initiavitis,”
and resistance to creating a strong UN system. (4) Other than absolute quantity
of aid, three other challenges linked to donors relate to the quality of aid
financing particularly the pragmatic difficulties of financing horizontal interventions,
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(5) the marginal involvement of developing country governments as aid
recipients, and<br>
(6) the heavy reliance on Northern-based organizations as managers of funds.<br>
(7) The final challenge discussed focuses on two unintended consequences of the
recent linking of health and foreign policy for international development
assistance. <br>
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<p class="MsoNormal" style="margin-left:.5in"><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">The paper then provides
three suggestions for ways forward: <br>
- creating new mechanisms to hold donors to account, <br>
- developing national plans and <br>
- strengthening national leadership in health, and South-South collaboration……”<br>
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