14 April 2014

Development Assistance for Health (DAH) did not fall during the financial crisis, though its rapid growth slowed down from 2010. The latest report Financing Global Health 2013: Transition in an Age of Austerity from the Institute for Health Metrics and Evaluation (IHME) finds that despite the global economic downturn and fiscal cutbacks, DAH has shown resilience, indicating continued support from the global community to meet health goals.

New report on global health finance trends

This new report estimates that there was a rise to an all-time high of $31.3 billion in 2013. The report also notes the importance of domestic spending on health: on average, countries spent 20 times more of their own resources on health than they received in assistance, and spending is growing.  

Who provides DAH?

The report reveals a shifting emphasis on the prominence of DAH partners.

  • The single largest channel of DAH remains the United States of America, although their total contribution has decreased since 2011. The second largest bilateral contributor, the United Kingdom, increased disbursements of DAH in 2013.
  • Major increases of DAH come from public-private partnerships such as the Global Fund and GAVI, as well as from philanthropies and NGOs.

Who benefits from DAH? 

  • Many of the countries with the highest disease burdens do not receive the most DAH. Of the 20 countries with the highest burden of disease, only 13 are among the top 20 recipients of DAH.
  • Across regions, sub-Saharan Africa received the largest portion of DAH with 28.6 percent of total DAH in 2011.

 What health issues does DAH support?

  • Allocations of DAH do not match the burden of disease. Diseases with the highest burden, such as Non-Communicable Diseases, receive the smallest amounts of overall DAH. However, funding to this area did increase slightly in 2011.
  • The HIV/AIDS sector received the most substantial share of DAH among health focus areas in 2011, receiving a quarter of the total DAH. 
  • DAH allocation to maternal, new born and child health grew substantially reflecting donor concern to support MDGs 4 and 5. 

For more information: 

Financing Global Health 2013: Transition in an Age of Austerity, Institute for Health Metrics and Evaluation (IHME).

Global Health Development Assistance remained steady in 2013, but did not align with recipients’ disease burdenHealth Affairs

Categories: Aid effectiveness

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