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Regional consultation meeting

Regional consultation meeting. Harmonization and Alignment of Cooperation in Middle-income Countries Dr. Juan Manuel Sotelo Pan American Health Organization (PAHO/WHO). Integrated health services networks and vertical programs: Maximizing synergies for collaborative work Cuzco, Peru

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Regional consultation meeting

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  1. Regional consultation meeting Harmonization and Alignment of Cooperation in Middle-income Countries Dr. Juan Manuel Sotelo Pan American Health Organization (PAHO/WHO) Integrated health services networks and vertical programs: Maximizing synergies for collaborative work Cuzco, Peru 11-12 November 2009

  2. Actors inInternational Cooperation on Health GOVERNMENTAL ASSISTANCE OFFICIAL AGENCY Bilateral Path NON-GOVERNMENTAL ASSISTANCE

  3. 0.4 140 0.35 120 0.3 100 0.25 80 ODA (2004 USD Billon) % of GDP 0.2 60 0.15 40 0.1 20 0.05 0 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 ODA as % GDP Total ODA to Africa Total ODA ODA of OECD members, 1990-2010 0.33 ODE as % of GDP Source: OECD database

  4. ODA of OECD members, 1990-2010 0.33 ODA as % of GDP 0.22 Source: OECD database

  5. ODA of OECD members, 1990-2010 0.33 ODA as % of GDP 0.22 Source: OECD database

  6. ODA of OECD members, 1990-2010 0.33 0.33 ODA as % of GDP 0.22 Total ODA Source: OECD database

  7. ODA of OECD members, 1990-2010 0.33 0.33 0.28 ODA as % of GDP 0.22 Total ODA Source: OECD database

  8. 0.4 140 0.35 120 0.3 100 0.25 80 % of GNI ODA (2004 USD Billon) 0.2 60 0.15 40 0.1 20 0.05 0 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 ODA as % GDP Total ODA to Africa Total ODA ODA of OECD members, 1990-2010 0.35 Increase required to achieve goals by 2010 0.33 0.33 0.28 ODA as % of GNI 0.22 Total ODA Source: OECD database

  9. ODA to Latin America and the Caribbean in % 12.0 10.0 8.0 % 6.0 4.0 2.0 0.0 2003 2004 2005 2006 2007 Year ODA by world region 2005 – 2007 50 000 45 000 40 000 35 000 2005 30 000 2006 25 000 USD Million 2007 20 000 15 000 10 000 5 000 - ASIA EUROPE AFRICA OCEANIA AMERICA Latin America in the global context • Latin America has lost a share of ODA. • In the past two years, ODA to the region has registered the lowest levels of the decade as a percentage of total ODA to developing countries. • In per capita terms, Latin America receives one-third of what Eastern Europe or sub-Saharan Africa receives.

  10. Barbados Chile Antigua & Barbuda Argentina Uruguay Cuba Mexico Costa Rica Venezuela Panama St. Kitts & Nevis Trinidad & Tobago St. Lucia Dominica Brazil Grenada Colombia Peru Ecuador Dominican Republic St. Vincent & the Grenadines Belize Suriname Jamaica Paraguay El Salvador Honduras Bolivia Guyana Guatemala Nicaragua Haiti 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Latin America and the Caribbean, HDI 2007 Source: PAHO with data of UNDP

  11. Health aid, by source, 2007 Source Cooperation on health Channel Government 65.7% US$ 14,322 million Bilateral agencies 34% US$ 7,398 million Development Banks 7.2% US$ 1,575 million Private sources 26.7% US$ 5,814 million UN agencies 14% US$ 3,059 million International cooperation on health 100% US$º 21,788 million European Commission 2.4% US$ 521 million Debt forgiveness 1.8% US$ 398 million Global Partnerships on Health 12.5% US$ 2,718 million Philanthropic foundations 5.2% US$ 1,143 million Other and unclassified 5.8% US$ 1,253 million NGOs 24.7% US$ 5,375 million Source: Author, with Health Metrics and Evaluation data, University of Washington.

  12. Changes in international health aid,1990-2007, LAC 1600 1400 1200 1000 800 USD Million 600 400 200 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  13. Health aid by subregion in Latin America and the Caribbean,1990-2007 1600.00 1400.00 1200.00 1000.00 Caribbean MERCOSUR 800.00 Andean Central America USD Million 600.00 400.00 200.00 0.00 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  14. A 1200 1000 800 Central America Andean 600 MERCOSUR Caribbean USD Million 400 200 0 1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007 Biennia Health aid by subregion in Latin America and the Caribbean,1990-2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  15. 700.00 600.00 500.00 Colombia 400.00 Bolivia Peru Ecuador Chile USD Million 300.00 200.00 100.00 0.00 1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007 Biennia Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  16. 160.00 140.00 120.00 100.00 Nicaragua Honduras Guatemala 80.00 USD Millilon Dominican Republic El Salvador 60.00 40.00 20.00 0.00 1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  17. 500.00 450.00 400.00 350.00 300.00 Argentina Brazil Paraguay USD Million 250.00 Uruguay Venezuela 200.00 150.00 100.00 50.00 0.00 1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  18. 60.00 50.00 40.00 Guyana Cuba Jamaica Suriname 30.00 USD Million St. Helena Belize 20.00 10.00 0.00 1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  19. 140.00 120.00 100.00 80.00 60.00 USD Million 40.00 20.00 0.00 Chile Peru Haiti Cuba Bolivia Brazil Belize Mexico Panama Colombia Dominica Guyana Jamaica Anguilla Uruguay Ecuador Grenada St. Lucia Suriname Guatemala Paraguay St. Helena Honduras Nicaragua Argentina Costa Rica Barbados El Salvador Venezuela Montserrat St. Kitts & Nevis Trinidad & Tobago Dominican Republic Turks & Caicos Is. Antigua & Barbuda Netherlands Antilles St. Vincent & the Grenadines Health aid in Latin American and Caribbean countries, 2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  20. 40.00 35.00 30.00 25.00 20.00 USD per capita 15.00 10.00 5.00 0.00 Haiti Peru Chile Cuba Brazil Bolivia Belize Mexico Panama Colombia Jamaica Anguilla Dominica Guyana Ecuador Uruguay Suriname Grenada St. Lucia Paraguay Honduras St. Helena Argentina Barbados Guatemala Nicaragua Costa Rica El Salvador Montserrat Venezuela St. Kitts & Nevis Trinidad & Tobago Turks & Caicos Is. Dominican Republic Antigua & Barbuda Netherlands Antilles St. Vincent & the Grenadines Per capita health aid in Latin American and Caribbean countries,2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

  21. What do we mean by “aid effectiveness”?

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