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Disease-specific Aid Distorts Countries’ Efforts to Deal With Their Problems
His views follow the launch of a new International Health Partnership that Prime Minister Gordon Brown hopes will accelerate progress towards achieving the United Nations’ millennium development goals for health.
Will the partnership make a difference, he asks?
Although international aid to developing countries for health has doubled to $14bn (Ł7bn; €10bn) since 2000, much of the increase is tied to individual diseases and is delivered outside of recipient countries’ planning and budgeting systems, causing big problems for the recipients, he writes.
Money for combating HIV and AIDS is the worst. It distorts countries’ efforts to deal with their problems, because most of this new aid is delivered 'off budget,' resulting in separate plans, operations, and monitoring - all in parallel with government systems.
What is missing, he says, is strengthened national healthcare systems that can deliver the range of services that countries need, according to their own priorities, not those of international lobby groups.
No one is funding this adequately, and no international body is equipped to provide the technical support countries need. The obvious candidate, the World Health Organization, suffers from serious constitutional and institutional flaws and is chronically under funded.
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