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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. Percent of ODA Devoted to Health, 2002. DAC US Health 4.8 5.6 of which basic health 2.7 5.5
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Donor Trends In International Health American Public Health Association Washington, D.C. November 6-10, 2004 Duff Gillespie
Percent of ODA Devoted to Health, 2002 • DACUS • 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 Source: OECD/DAC Database,cited in Birdsall, Nomg, “ New Issues in Development Assistance, World Banh,
Top Ten Recipients of GrossODA/OA (USD million) • Egypt 919 • Russia (OA) 813 • Israel (OA) 529 • Pakistan 494 • Serbia & Montenegro 353 • Columbia 330 • Ukraine (OA) 257 • Jordan 225 • Peru 188 • 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 States • HHS • CDC • NIH • State • USAID-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