Donor Trends In International Health

American Public Health Association

Washington, D.C.

November 6-10, 2004

Duff Gillespie

Official Development Assistance Unadjusted in US $ Billions

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

55,000

60,000

65,000

70,000

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

US Japan DAC

Percent of ODA Devoted to Health, 2002

DAC US

Health 4.8 5.6

of which basic health 2.7 5.5

Population 3.5 10.6

8.3 15.5

Source: PECD-DAC

Percent of donor’s Assistance Allocated to Multilateral Institutions and Programs

56.8

45.642.3

37.5 37.2 36.834.1 32.8 32.5

28.8 27.9 26.6 25.121.8 20.5 18.6

0

10

20

30

40

50

60

Source: OECD/DAC Database, cited in Birdsall, Nomg, “ New Issues in Development Assistance, World Banh,

Top Ten Recipients of Gross ODA/OA (USD million)

1. Egypt 919

2. Russia (OA) 813

3. Israel (OA) 529

4. Pakistan 494

5. Serbia & Montenegro 353

6. Columbia 330

7. Ukraine (OA) 257

8. Jordan 225

9. Peru 188

10. Afghanistan 188

Source: OECD

Percent of Bilateral Recipients Receiving Less Than 1 Percent of Total Aid – 1990-2001 Average

Australia 82%Canada 73%Denmark 82%Finland 76%France 87%Germany 76%Ireland 84%Italy 90%Japan 90%Netherlands 76%Norway 76%Portugal 88%Sweden 75%Switzerland 70%United Kingdom 83%United States 87%

Source: Acharya, De Lima & Moore (2003) “ The Proliferators” Institute of Development Studies cited in Birdsall, Nomg, “ New Issues in Development Assistance, World Banh, October 4, 2004

Funding and Strategic Planning Mechanisms Are Many

Bilateral

Multilateral

Loans

International Partnership

Swaps

PRSP

Direct Budget Support

Millennium Development Goals

United StatesHHS

CDCNIH

StateUSAID-HIV/AIDS Millennium Challenge Conformation

USAID

Mission

Washington

CONCLUDING ISSUES

ODA Increase have not kept pass with needs and International Goals

Competition for ODA is Increasing -Geo-Political-Development

Numerous Development Mechanisms (Industry)

Transaction Cost Significant for Donors and Recipients

No Critical Mass of Resources for Scaling–up