<br>From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br><div class="gmail_quote">Date: Fri, Dec 3, 2010 at 1:47 AM<br>
crossposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br><br><span class="Apple-style-span" style="font-size: 20px; font-weight: bold; "><b><font size="3" color="maroon" face="Arial"><span style="font-size:12.0pt;font-family:Arial;color:maroon">Financing Global Health
2010: </span></font></b></span><br><div lang="EN-US" link="blue" vlink="purple"><div><h2 style="margin-left:.5in"><b><font size="3" color="maroon" face="Arial"><span style="font-size:12.0pt;font-family:Arial;color:maroon">
Development assistance and country spending in economic uncertainty<br>
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</span></font></b></h2>
<h2 style="margin-left:.5in"><b><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">Institute for Health
Metrics and Evaluation - Seattle,
WA: IHME, 2010.<br>
<br>
</span></font></b></h2>
<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">Available online at: <span><a href="http://bit.ly/ewXYo0" target="_blank"><font color="navy"><span style="color:navy">http://bit.ly/ewXYo0</span></font></a></span><br>
<br>
</span></font></p>
<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">November 30, 2010–“…..Financing
Global Health 2010: Development assistance and country spending in economic
uncertainty shows the continued rise in development assistance for health
globally and provides a comprehensive picture of the total amount of health
funding flowing from aid agencies, governments, and private donors to
developing countries. </span></font></p>
<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"> </span></font></p>
<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">It also shows the
dramatic increase in health spending by developing countries on their own
health projects and the way development assistance for health appears to affect
those domestic funding decisions….”</span></font></p>
<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"> </span></font></p>
<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 report provides a
comprehensive picture of the total amount of health funding between 1990 and
2008 from aid agencies and governments in 23 developed countries, multilateral
institutions, and hundreds of nonprofit groups and charities.<br>
<br>
</span></font></p>
<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"> </span></font></p>
<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 report’s findings
include:</span></font></p>
<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"> </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="1" color="navy" face="Symbol"><span style="font-size:9.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">Country
governments and private donors are driving the increases in development
assistance for health. The US
government and private donors in the US made up one-half of all funding
in 2008. </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="1" color="navy" face="Symbol"><span style="font-size:9.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">US-based
NGOs have been hit hard by the economic downturn, and the amount of health
funding spent by them decreased 24% from 2009 to 2010. </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="1" color="navy" face="Symbol"><span style="font-size:9.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">Significant
improvements in transparency make it easier to track how health funds are being
used. In 1990, 65% of all public health funding from donor countries was
considered “unspecified,” with no information available about the
primary recipient of the funds. In 2008, that fraction had dropped to 1%. In
the US,
more than 30% of all funding was unspecified as recently as 2007. By 2008,
though, the US
government reported detailed information for 100% of its health assistance. </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="1" color="navy" face="Symbol"><span style="font-size:9.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">Spending
on HIV/AIDS programs has continued to rise at a strong rate, making HIV/AIDS
the most funded of all health focus areas. Funding for maternal, newborn, and
child health received about half as much funding as HIV/AIDS as of 2008. </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="1" color="navy" face="Symbol"><span style="font-size:9.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">Malaria
and tuberculosis are often included with AIDS as top priorities in combating
infectious diseases, but both receive far less funding than AIDS: $1.19 billion
for malaria in 2008 and $0.83 billion for tuberculosis. Funding for malaria and
tuberculosis also appears to go to countries that do not have large groups at
risk for these diseases. For example, of the 30 countries that receive the most
malaria health funding adjusted for disease burden, only three – Eritrea,
Sao Tome and Principe, and Swaziland – are located in sub-Saharan Africa,
where malaria is most acute. </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="1" color="navy" face="Symbol"><span style="font-size:9.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">Despite
much discussion about the need for general health sector support, funding for
that area has grown slowly since 2006. Funding for noncommunicable diseases,
another popular topic among global health advocates, represents just 0.5% of
all development assistance for health. </span></font></p>
<p class="MsoNormal" style="margin-left:1.0in"><font size="2" color="navy" face="Symbol"><span style="font-size:10.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">The
commitment to health in the developing world grew dramatically over the past
two decades. Governments of developing countries increased spending on health. </span></font><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="margin-left:1.0in"><font size="2" color="navy" face="Symbol"><span style="font-size:10.0pt;font-family:Symbol;color:navy"><span>·<font size="1" face="Times New Roman"><span style="font:7.0pt "Times New Roman"">
</span></font></span></span></font><font size="1" color="navy" face="Arial"><span style="font-size:9.0pt;font-family:Arial;color:navy">In
countries whose governments receive significant donor funding, development
assistance for health appears to be partially replacing domestic health
spending instead of fully supplementing it. Conversely, in countries that
receive health funding mainly through NGOs, government health spen</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">ding appears to increase….”<br>
<br>
</span></font></p>
<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"> </span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy;font-weight:bold">Content:<br>
</span></font></b><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">Report Overview </span></font></p>
<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">Chapter 1: Tracking
development assistance for health </span></font></p>
<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">Chapter 2: Distribution
of development assistance for health </span></font></p>
<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">Chapter 3: Spending on
health by developing country governments </span></font></p>
<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">Chapter 4: Impact on
development assistance for health on country spending </span></font></p>
<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">Conclusion and References
</span></font></p>
<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">Methods annex </span></font></p>
<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">Statistical annex <br>
<br>
</span></font></p>
<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"> </span></font></p></div></div></div>