Article Ravishankar lecture 1 Flashcards
Findings article Ravishankar ‘Financial of global health: tracking development assistance for health from 1990 to 2007’
This study documents the substantial rise of resources for global health in recent years. Although the rise in DAH has resulted in increased funds for HIV/AIDS, other areas of global health have also expanded. The influx funds has been accompanied by major changes in the institutional landscape of global health, with global health initiatives such as the Global Fund and GAVI having a central role in mobilising and channeling global health funds.
What are difficulties to track DAH (Development Assistance for Health) comprehensively and systematically
- Clarity on the scope of health resources is needed, including a delineation of the types of institutions that shouid be tracked, what counts as health dollars and what might be health-related such as support for allied sectors, and whether assistance for all countries or just for low and middle income should be included.
Measurement challenges for DAH that make careful analysis complex, time-consuming, and at times uncertain.
- crucial variables in OECD’s databases are often incomplete.
- there are no integrated databases for health related assistance flows from private foundations and non-governmental organisations (NGOs) worldwide
- development assistance flows from primary funding sources through various financial intermediaries to many implementing institutions, increase the danger of the same money being counted multiple times.
- poor quality of data from previous years makes quantification of time trends difficult.
- different published sources of information for the same organisation are often inconsistent.
- organisations use different fiscal years and accounting methods, which complicates the task of developing coherent information over time.
Changes in DAH in the period 1990 - 2007
- Resources almost quadrupled
- Influx of resources has not only been from public but also from private philanthropy.
- Scale up of the Bill & Melinda Gates Foundation was striking
- Two new and large channels of resource flows, the Global Fund and the GAVI (vaccination alliance)
