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Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017
INTRODUCTION: In 2017, development assistance for health (DAH) comprised 5.3% of total health spending in low-income countries. Despite the key role DAH plays in global health-spending, little is known about the characteristics of assistance that may be associated with committed assistance that is a...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8074566/ https://www.ncbi.nlm.nih.gov/pubmed/33893143 http://dx.doi.org/10.1136/bmjgh-2020-004858 |
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author | Moitra, Modhurima Cogswell, Ian Maddison, Emilie Simpson, Kyle Stutzman, Hayley Tsakalos, Golsum Dieleman, Joseph Micah, Angela E |
author_facet | Moitra, Modhurima Cogswell, Ian Maddison, Emilie Simpson, Kyle Stutzman, Hayley Tsakalos, Golsum Dieleman, Joseph Micah, Angela E |
author_sort | Moitra, Modhurima |
collection | PubMed |
description | INTRODUCTION: In 2017, development assistance for health (DAH) comprised 5.3% of total health spending in low-income countries. Despite the key role DAH plays in global health-spending, little is known about the characteristics of assistance that may be associated with committed assistance that is actually disbursed. In this analysis, we examine associations between these characteristics and disbursement of committed assistance. METHODS: We extracted data from the Creditor Reporting System of the Organization for Economic Co-operation and Development, Institute for Health Metrics and Evaluation, and the WHO National Health Accounts database. Factors examined were off-budget assistance, administrative assistance, publicly sourced assistance and assistance to health systems strengthening. Recipient-country characteristics examined were perceived level of corruption, civil fragility and gross domestic product per capita (GDPpc). We used linear regression methods for panel of data to assess the proportion of committed aid that was disbursed for a given country-year, for each data source. RESULTS: Factors that were associated with a higher disbursement rates include off-budget aid (p<0.001), lower administrative expenses (p<0.01), lower perceived corruption in recipient country (p<0.001), lower fragility in recipient country (p<0.05) and higher GDPpc (p<0.05). CONCLUSION: Substantial gaps remain between commitments and disbursements. Characteristics of assistance (administrative, publicly sourced) and indicators of government transparency and fragility are also important drivers associated with disbursement of DAH. There remains a continued need for better aid flow reporting standards and clarity around aid types for better measurement of DAH. |
format | Online Article Text |
id | pubmed-8074566 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-80745662021-05-11 Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 Moitra, Modhurima Cogswell, Ian Maddison, Emilie Simpson, Kyle Stutzman, Hayley Tsakalos, Golsum Dieleman, Joseph Micah, Angela E BMJ Glob Health Original Research INTRODUCTION: In 2017, development assistance for health (DAH) comprised 5.3% of total health spending in low-income countries. Despite the key role DAH plays in global health-spending, little is known about the characteristics of assistance that may be associated with committed assistance that is actually disbursed. In this analysis, we examine associations between these characteristics and disbursement of committed assistance. METHODS: We extracted data from the Creditor Reporting System of the Organization for Economic Co-operation and Development, Institute for Health Metrics and Evaluation, and the WHO National Health Accounts database. Factors examined were off-budget assistance, administrative assistance, publicly sourced assistance and assistance to health systems strengthening. Recipient-country characteristics examined were perceived level of corruption, civil fragility and gross domestic product per capita (GDPpc). We used linear regression methods for panel of data to assess the proportion of committed aid that was disbursed for a given country-year, for each data source. RESULTS: Factors that were associated with a higher disbursement rates include off-budget aid (p<0.001), lower administrative expenses (p<0.01), lower perceived corruption in recipient country (p<0.001), lower fragility in recipient country (p<0.05) and higher GDPpc (p<0.05). CONCLUSION: Substantial gaps remain between commitments and disbursements. Characteristics of assistance (administrative, publicly sourced) and indicators of government transparency and fragility are also important drivers associated with disbursement of DAH. There remains a continued need for better aid flow reporting standards and clarity around aid types for better measurement of DAH. BMJ Publishing Group 2021-04-23 /pmc/articles/PMC8074566/ /pubmed/33893143 http://dx.doi.org/10.1136/bmjgh-2020-004858 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research Moitra, Modhurima Cogswell, Ian Maddison, Emilie Simpson, Kyle Stutzman, Hayley Tsakalos, Golsum Dieleman, Joseph Micah, Angela E Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
title | Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
title_full | Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
title_fullStr | Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
title_full_unstemmed | Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
title_short | Factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
title_sort | factors associated with the disbursements of development assistance for health in low-income and middle-income countries, 2002–2017 |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8074566/ https://www.ncbi.nlm.nih.gov/pubmed/33893143 http://dx.doi.org/10.1136/bmjgh-2020-004858 |
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