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16 - International aid and global health

Published online by Cambridge University Press:  01 March 2011

By
Anthony B. Zwi
Edited by
Solomon Benatar  and
Gillian Brock
Solomon Benatar
Affiliation:
University of Cape Town
Gillian Brock
Affiliation:
University of Auckland
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Summary

Introduction

Nancy Birdsall (2008) has described Overseas Development Assistance (ODA) as being guilty of “seven deadly sins.” Her critique exposes many weaknesses of the international aid system. How applicable are these “sins” to development assistance for global health? How do we make sense of the contradictions regarding the value and utility of ODA and the critiques of how it operates? And, most importantly, how might “we” do better?

This chapter explores the nature of foreign aid, as it relates to global health, and seeks to assess its value(s) and constraints. The chapter is structured around four key elements: (a) trends in overseas development assistance for health; (b) motivations and influences on aid; (c) an assessment of current aid structures and approaches and (d) emerging issues, considerations and recommendations.

Background

The world's club of wealthy countries, the Organisation for Economic Co-operation and Development (OECD), noted as “outrageous” the ongoing human tragedy of failed development: 9 million avoidable deaths in those under 5 years of age and 536,000 maternal deaths per year (OECD, 2009). Widespread acknowledgment of limited achievements of international aid, a decade earlier, led to agreement at the Millennium Summit to establish global targets for development, the Millennium Development Goals (MDGs). These comprised a set of eight inter-related development goals designed to close the poverty gap between rich and poor countries and to improve the health and well-being of over a billion people living on less than $1 per day (see www.un.org/millenniumgoals/).

Type
Chapter
Information
Global Health and Global Health Ethics , pp. 184 - 197
Publisher: Cambridge University Press
Print publication year: 2011

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References

Asante, A. D. & Zwi, A. B. (2007). Public-private partnerships and global health equity: prospects and challenges. Indian Journal of Medical Ethics IV(4), 176–180.Google Scholar
Benatar, S. R. (2005). Moral imagination: the missing component in global health. PLoS Medicine 2(12), e400.CrossRefGoogle ScholarPubMed
Bensimon, C. M. & Benatar, S. R. (2006). Developing sustainability: a new metaphor for progress. Theoretical Medicine and Bioethics 27, 59–79.CrossRefGoogle ScholarPubMed
Birdsall, N. (2008). Seven deadly sins: Reflections on donor failings. In Easterly, W. (Ed.), Reinventing Foreign Aid (pp. 515–551). Cambridge, MA: MIT Press.Google Scholar
Buse, K. & Harmer, A. (2007). Global Health: Making Partnerships Work. Briefing Paper 15, January 2007. London: Overseas Development Institute.Google Scholar
Cometto, G., Ooms, G., Starrs, A. & Zeitz, P. (2009). A global fund for the health MDGs?Lancet 373, 1500–1502.CrossRefGoogle ScholarPubMed
Das, T. (2009). The information and financial power of the World Bank: knowledge production through UN collaboration. Progress in Development Studies, 9, 209–224.CrossRefGoogle Scholar
Das Gupta, M. & Gostin, L. (2009). How can donors help build global public goods in health? Policy Research Working Paper 4907. Washington, DC: World Bank.CrossRefGoogle Scholar
Davis, T. W. D. (2009). The politics of human rights and development: the challenge for official donors. Australian Journal of Political Science, 44(1), 173–192.CrossRefGoogle Scholar
Fiszbein, A. (2006). Development impact evaluation: new trends and challenges. Evidence & Policy 2(3), 385–393.CrossRefGoogle Scholar
Grundy, J. (2010). Country-level governance of global health initiatives: an evaluation of immunization coordination mechanisms in five countries of Asia. Health Policy and Planning 25, 186–196.CrossRefGoogle Scholar
,Health and Fragile States Network (2009). Health Systems Strengthening in Fragile Contexts: A Report on Good Practices and New Approaches. www.healthandfragilestates.org
Hotez, P. J., Fenwick, A., Savioli, L. & Molyneux, D. H. (2009). Rescuing the bottom billion through control of neglected diseases. Lancet 373, 1570–1575.CrossRefGoogle Scholar
Howell, J. & Lind, J. (2009). Changing donor policy and practice in civil society in the post-9/11 aid context. Third World Quarterly 30(7), 1279–1296.CrossRefGoogle Scholar
Lu, C., Schneider, M. T., Gubbins, P.et al. (2010). Public financing of health in developing countries: a cross-national systematic analysis. Lancet 375, 1375–1387.CrossRefGoogle ScholarPubMed
McCormick, D. (2008). China & India as Africa's new donors: the impact of aid on development. Review of African Political Economy 35(115), 73–92.CrossRefGoogle Scholar
McCoy, D., Chand, S. & Sridhar, D. (2009a). Global health funding: how much, where it comes from and where it goes. Health Policy and Planning 24(6), 407–417.CrossRefGoogle ScholarPubMed
McCoy, D., Kembhavi, G., Patel, J. & Luintel, A. (2009b). The Bill & Melinda Gates Foundation's grant-making programme for global health. Lancet 373, 1645–1653.CrossRefGoogle Scholar
,Millennium Development Projectwww.un.org/millenniumgoals/
,OECD (2009). Working Party on Aid Effectiveness. Aid for Better Health – What are We Learning about What Works and What We Still Have to Do? An interim report from the Task Team on Health as a Tracer Sector. DCD/DAC/EFF(2009)14.
Piva, P. & Dodd, R. (2009). Where did all the aid go? An in-depth analysis of increased health aid flows over the past 10 years. Bulletin of the World Health Organization 87, 930–939.CrossRefGoogle ScholarPubMed
Pogge, T. W. M. (2008). World Poverty and Human Rights: Cosmopolitan Responsibilities and Reforms. (2nd edn.) Cambridge: Polity Press.Google Scholar
Ravishankar, N., Gubbins, P., Cooley, R. J.et al. (2009). Financing of global health: tracking development assistance for health from 1990 to 2007. Lancet 373, 2113–2124.CrossRefGoogle ScholarPubMed
Reinikka, R. (2008). Donors and service delivery. In Easterly, W. (Ed.), Reinventing Foreign Aid (pp. 179–199). Cambridge, MA: MIT Press.Google Scholar
Ruger, J. P. (2009). Global health justice. Public Health Ethics 2, 261–275.CrossRefGoogle Scholar
Selgelid, M. J. (2008). Improving global health: counting reasons why. Developing World Bioethics 8(2), 115–125.CrossRefGoogle ScholarPubMed
Sidibe, M., Ramiah, I. & Buse, K. (2006). The Global Fund at five: what next for universal access for HIV/AIDS, TB and malaria?Journal of the Royal Society of Medicine 99, 497–500.CrossRefGoogle ScholarPubMed
Six, C. (2009). The rise of postcolonial states as donors: a challenge to the development paradigm. Third World Quarterly 30(6), 1103–1121.CrossRefGoogle Scholar
Sumner, A. & Tribe, M. (2008). International Development Studies. Theories and Methods in Research and Practice. London: Sage.CrossRefGoogle Scholar
Tandon, Y. (2009). Aid without dependence: an alternative conceptual model for development cooperation. Development 52(3), 356–362.CrossRefGoogle Scholar
Vandemoortele, J. (2009). The MDG conundrum: meeting the targets without missing the point. Development Policy Review 27(4), 355–371.CrossRefGoogle Scholar
Woods, N. (2008). Whose aid? Whose influence? China, emerging donors and the silent revolution in development assistance. International Affairs 84(6), 1–18.CrossRefGoogle Scholar
,World Bank (2002). The Costs of Attaining the Millennium Development Goals. www.worldbank.org/html/extdr/mdgassessment.pdf
Zwi, A. B. & Mills, A. (1995). Health policy in less developed countries: past trends, future directions. Journal of International Development 7(3), 299–328.CrossRefGoogle ScholarPubMed

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