Does donor proliferation in development aid for health affect health service delivery and population health? Cross-country regression analysis from 1995 to 2010.

Abstract:

Background:Previous literature suggests that increasing numbers of development aid donors can reduce aid effectiveness but this has not been tested in the health sector, which has experienced substantial recent growth in aid volume and number of donors. Methods:Based on annual data for 1995-2010 on 139 low- and middle-income countries that received health sector aid from donors reporting to the OECD's Creditor Reporting System, the study used two-step system generalized method of moments regression models to test whether the number of health aid donors and an index of health aid donor fragmentation affect health services (measured by DTP3 immunization rate) or health outcomes (measured by infant mortality rate) for three subsectors of health aid. Results:For total health aid and for the general and basic health aid subsector, controlling for economic and political conditions, increases in the number of donors were associated with increases in DTP3 immunization rate and reductions in infant mortality while increases in the donor fragmentation index were associated with decreases in DTP3 immunization rate and increases in infant mortality, though none of these relationships were statistically significant. For the population and reproductive health aid subsector, a one percent increase in the number of donors was associated with a 0.23 percent decrease in DTP3 immunization ( P <  0.01) while a one percent increase in donor fragmentation was associated with a 0.54 percent increase in DTP3 immunization rate ( P <  0.01); associations with infant mortality rates for this subsector were similar to those for total health aid. Conclusion:The results do not provide clear evidence in support of the hypothesis that donor proliferation negatively impacts development results in the health sector. Aid effectiveness policy prescriptions should distinguish responses to donor proliferation versus donor fragmentation and be adapted to specific subsectors of health aid.

journal_name

Health Policy Plan

authors

Pallas SW,Ruger JP

doi

10.1093/heapol/czw164

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

493-503

issue

4

eissn

0268-1080

issn

1460-2237

pii

czw164

journal_volume

32

pub_type

杂志文章
  • Willingness to pay for community-based health insurance in Nigeria: do economic status and place of residence matter?

    abstract:OBJECTIVE:We examine socio-economic status (SES) and geographic differences in willingness of respondents to pay for community-based health insurance (CBHI). METHODS:The study took place in Anambra and Enugu states, south-east Nigeria. It involved a rural, an urban and a semi-urban community in each of the two states....

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czp046

    authors: Onwujekwe O,Okereke E,Onoka C,Uzochukwu B,Kirigia J,Petu A

    更新日期:2010-03-01 00:00:00

  • Does volunteer community health work empower women? Evidence from Ethiopia's Women's Development Army.

    abstract::Of the millions of Community Health Workers (CHWs) serving their communities across the world, there are approximately twice as many female CHWs as there are male. Hiring women has in many cases become an ethical expectation, in part because working as a CHW is often seen as empowering the CHW herself to enact positiv...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czz025

    authors: Closser S,Napier H,Maes K,Abesha R,Gebremariam H,Backe G,Fossett S,Tesfaye Y

    更新日期:2019-05-01 00:00:00

  • Eradicating guinea worm without wells: unrealized hopes of the Water Decade.

    abstract::At the start of the United Nations International Drinking Water Supply and Sanitation Decade in the 1980s, guinea worm disease was targeted as the major indicator of the success of the Decade's efforts to promote safe water. By the late 1980s, most of the guinea worm endemic countries in Africa and South Asia had esta...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/12.4.354

    authors: Brieger WR,Otusanya S,Adeniyi JD,Tijani J,Banjoko M

    更新日期:1997-12-01 00:00:00

  • Distributional impact of the Malawian Essential Health Package.

    abstract::In low- and middle-income countries (LMICs), making the best use of scarce resources is essential to achieving universal health coverage. The design of health benefits packages creates the opportunity to select interventions on the basis of explicit objectives. Distributional cost-effectiveness analysis (DCEA) provide...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa015

    authors: Arnold M,Nkhoma D,Griffin S

    更新日期:2020-07-01 00:00:00

  • Socio-economic and ethnic group inequities in antenatal care quality in the public and private sector in Brazil.

    abstract:BACKGROUND:Socio-economic inequalities in maternal and child health are ubiquitous, but limited information is available on how much the quality of care varies according to wealth or ethnicity in low- and middle-income countries. Also, little information exists on quality differences between public and private provider...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czp065

    authors: Victora CG,Matijasevich A,Silveira M,Santos I,Barros AJ,Barros FC

    更新日期:2010-07-01 00:00:00

  • Managing the health care market in developing countries: prospects and problems.

    abstract::There is increasing interest in the prospects for managed market reforms in developing countries, stimulated by current reforms and policy debates in developed countries, and by perceptions of widespread public sector inefficiency in many countries. This review examines the prospects for such reforms in a developing c...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/9.3.237

    authors: Broomberg J

    更新日期:1994-09-01 00:00:00

  • Do academic knowledge brokers exist? Using social network analysis to explore academic research-to-policy networks from six schools of public health in Kenya.

    abstract::The potential for academic research institutions to facilitate knowledge exchange and influence evidence-informed decision-making has been gaining ground. Schools of public health (SPHs) may play a key knowledge brokering role-serving as agencies of and for development. Understanding academic-policymaker networks can ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv107

    authors: Jessani NS,Boulay MG,Bennett SC

    更新日期:2016-06-01 00:00:00

  • Infant-feeding practices of mothers of known HIV status in Lusaka, Zambia.

    abstract:BACKGROUND:Between 25 and 44% of mother-to-child transmission (MTCT) of the human immunodeficiency virus (HIV) occurs through breastfeeding. As a result, feeding guidelines for infants of HIV-infected mothers are being formulated in many resource-poor countries. The impact of introducing these guidelines on mothers' ac...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czg020

    authors: Omari AA,Luo C,Kankasa C,Bhat GJ,Bunn J

    更新日期:2003-06-01 00:00:00

  • Treatment as insurance: HIV antiretroviral therapy offers financial risk protection in Malawi.

    abstract::Many countries have expanded insurance programmes in an effort to achieve universal health coverage (UHC). We assess a complementary path toward financial risk protection: increased access to technologies that improve health and reduce the risk of large health expenditures. Malawi has provided free HIV treatment since...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa023

    authors: Dickerson S,Baranov V,Bor J,Barofsky J

    更新日期:2020-07-01 00:00:00

  • Inappropriate use of medicines and associated factors in Brazil: an approach from a national household survey.

    abstract::This article aims to describe the inappropriate use of medicines in the Brazilian urban population and to identify associated factors. We conducted a data analysis of a household survey carried out in Brazil in 2013-14. The sampling plan was done by clusters with representativeness of the urban population and large re...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czz038

    authors: Luiza VL,Mendes LVP,Tavares NUL,Bertoldi AD,Fontanella AT,Oliveira MA,Campos MR,PNAUM Group .

    更新日期:2019-12-01 00:00:00

  • The private sector role in HIV/AIDS in the context of an expanded global response: expenditure trends in five sub-Saharan African countries.

    abstract::Global financing for the HIV response has reached unprecedented levels in recent years. Over US$10 billion were mobilized in 2007, an effort credited with saving the lives of millions of people living with HIV (PLHIV). A relatively unexamined aspect of the global HIV response is the role of the private sector in finan...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czr031

    authors: Sulzbach S,De S,Wang W

    更新日期:2011-07-01 00:00:00

  • Review of quality assessment tools for family planning programmes in low- and middle-income countries.

    abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czw123

    authors: Sprockett A

    更新日期:2017-03-01 00:00:00

  • Is there primary health care in the UK?

    abstract::In the period since the Alma-Ata Declaration, there has been much activity in many countries in drawing up strategies for primary health care (PHC). This paper argues that the UK, though a signatory to the Declaration, has failed to provide an adequate framework for such a strategy, and that, in spite of the strong re...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/2.2.129

    authors: Green A

    更新日期:1987-06-01 00:00:00

  • Financing mental health services in low- and middle-income countries.

    abstract::Mental disorders account for a significant and growing proportion of the global burden of disease and yet remain a low priority for public financing in health systems globally. In many low-income countries, formal mental health services are paid for directly by patients out-of-pocket and in middle-income countries und...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czl004

    authors: Dixon A,McDaid D,Knapp M,Curran C

    更新日期:2006-05-01 00:00:00

  • Providing information on pregnancy complications during antenatal visits: unmet educational needs in sub-Saharan Africa.

    abstract:INTRODUCTION:Lack of information on the warning signs of complications during pregnancy, parturition and postpartum hampers women's ability to partake fully in safe motherhood initiatives. We assessed the extent to which women in 19 countries of sub-Saharan Africa recall receiving information about pregnancy complicati...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czp017

    authors: Nikiéma B,Beninguisse G,Haggerty JL

    更新日期:2009-09-01 00:00:00

  • Provider payment in community-based health insurance schemes in developing countries: a systematic review.

    abstract:OBJECTIVES:Community-based health insurance (CBI) is a common mechanism to generate financial resources for health care in developing countries. We review for the first time provider payment methods used in CBI in developing countries and their impact on CBI performance. METHODS:We conducted a systematic review of the...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czs034

    authors: Robyn PJ,Sauerborn R,Bärnighausen T

    更新日期:2013-03-01 00:00:00

  • Insured yet vulnerable: out-of-pocket payments and India's poor.

    abstract::Protecting households from high out-of-pocket (OOP) payments for health care is an important health system goal. High OOP payments can push households into poverty and make them vulnerable to catastrophic health expenditures. This study, based in India, aims to: (a) estimate OOP payments for health and related impover...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czr029

    authors: Shahrawat R,Rao KD

    更新日期:2012-05-01 00:00:00

  • Equity and economic evaluation of system-level health interventions: A case study of Brazil's Family Health Program.

    abstract::Distributional economic evaluation estimates the value for money of health interventions in terms of population health and health equity impacts. When applied to interventions delivered at the population and health system-level interventions (PSIs) instead of clinical interventions, additional practical and methodolog...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa181

    authors: Love-Koh J,Mirelman A,Suhrcke M

    更新日期:2020-12-31 00:00:00

  • Risk factors for neonatal mortality in rural areas of Bangladesh served by a large NGO programme.

    abstract::Neonatal deaths account for about half of all deaths among children under 5 years of age in Bangladesh, making prevention a major priority. This paper reports on a study of neonatal deaths in 12 areas of Bangladesh served by a large NGO programme, which had high coverage of reproductive health outreach services and re...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czl024

    authors: Mercer A,Haseen F,Huq NL,Uddin N,Hossain Khan M,Larson CP

    更新日期:2006-11-01 00:00:00

  • Health governance and healthcare reforms in China.

    abstract::This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. The analysis shows that the failure of reforms during the 1980s and 1990s was in part due to inadequate attention to key aspects in health governance, such as strategic interactions among government, providers a...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs109

    authors: Ramesh M,Wu X,He AJ

    更新日期:2014-09-01 00:00:00

  • Critical interactions between Global Fund-supported programmes and health systems: a case study in Papua New Guinea.

    abstract::In Papua New Guinea, investment by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has played an important role in scaling up the response to HIV and tuberculosis (TB). As part of a series of case studies on how Global Fund-supported programmes interact with national health systems, we assess...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czq058

    authors: Rudge JW,Phuanakoonon S,Nema KH,Mounier-Jack S,Coker R

    更新日期:2010-11-01 00:00:00

  • Why should the poor insure? Theories of decision-making in the context of health insurance.

    abstract::Increasingly, low- and middle-income countries are looking to community-based health insurance (CBHI) as a means of ensuring access to health care for the poor. However, little evidence exists about the determining factors that affect poor individuals' insurance decisions. This article reviews the economic and social ...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czh050

    authors: Schneider P

    更新日期:2004-11-01 00:00:00

  • Does an expansion in private sector contraceptive supply increase inequality in modern contraceptive use?

    abstract:OBJECTIVE:To determine whether an expansion in private sector contraceptive supply is associated with increased socio-economic inequality in the modern contraceptive prevalence rate (MCPR inequality). METHODS:Multiple rounds of Demographic and Health Surveys data were analysed for five countries that experienced an in...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czn035

    authors: Agha S,Do M

    更新日期:2008-11-01 00:00:00

  • Health and economic benefits of scaling up a home-based neonatal care package in rural India: a modelling analysis.

    abstract::Approximately 900 000 newborn children die every year in India, accounting for 28% of neonatal deaths globally. In 2011, India introduced a home-based newborn care (HBNC) package to be delivered by community health workers across rural areas. We estimate the disease and economic burden that could be averted by scaling...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv113

    authors: Nandi A,Colson AR,Verma A,Megiddo I,Ashok A,Laxminarayan R

    更新日期:2016-06-01 00:00:00

  • Health policy evolution in Lao People's Democratic Republic: context, processes and agency.

    abstract::During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective impleme...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czu017

    authors: Jönsson K,Phoummalaysith B,Wahlström R,Tomson G

    更新日期:2015-05-01 00:00:00

  • Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh.

    abstract::Realist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv053

    authors: Adams A,Sedalia S,McNab S,Sarker M

    更新日期:2016-03-01 00:00:00

  • Supporting mental health in South African HIV-affected communities: primary health care professionals' understandings and responses.

    abstract::How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients' distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoni...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czu092

    authors: Burgess RA

    更新日期:2015-09-01 00:00:00

  • Intergovernmental health policy decisions in Brazil: cooperation strategies for political mediation.

    abstract::The advantages of established intergovernmental decision-making arenas for the implementation of health policies in decentralized settings are not well known. This paper presents the case of the joint health management committee, known as the Tripartite Committee, created to formalize intergovernmental decisions about...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czm004

    authors: Miranda AS

    更新日期:2007-05-01 00:00:00

  • A scoping review of cost benefit analysis in reproductive, maternal, newborn and child health: What we know and what are the gaps?

    abstract::Growing evidence suggests that early life investments in health are associated with improved human capital and economic outcomes. Various recent global studies have simulated the expected economic returns from alternative packages of interventions in reproductive, maternal, newborn and child health (RMNCH). However, v...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czw078

    authors: Maitra C,Hodge A,Jimenez Soto E

    更新日期:2016-12-01 00:00:00

  • Whose policy is it anyway? International and national influences on health policy development in Uganda.

    abstract::As national resources for health decline, so dependence on international resources to finance the capital and recurrent costs is increasing. This dependence, combined with an increasing emphasis on policy-based, as opposed to project-based, lending and grant-making has been accompanied by greater involvement of intern...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/10.2.122

    authors: Okuonzi SA,Macrae J

    更新日期:1995-06-01 00:00:00