A Decade of Aid to the Health Sector in Somalia 2000-2009

by Emanuele Capobianco, Veni Naidu

Overview

This study reviews trends in aid provided to the health sector in Somalia over 2000–2009. It is a testimony to the commitment of donors and implementers who have relentlessly tried to improve the dire health situation of millions of Somalis. At the same time, this study is a wake-up call for all donors and implementers. Have donors been generous enough? Have millions of dollars been invested in the most efficient way to maximize results? Did donors choose the right priorities? Did they stay the course? Did they learn from their own mistakes?_x000D_ _x000D_ The answers are mixed. Donors stepped up their contributions over the decade: some new financiers came, some others left, but overall, financial support has been constantly increasing. Emergencies took up 30 percent of the overall funding, thus demonstrating the impact on the health sector of man-made and natural disasters. Only 20 percent was allocated for horizontal programs, with increasing funds over the last part of the decade. Vertical programs dominated aid financing for health: in the case of AIDS, TB, and malaria, the generous funding of the last years of the decade do not appear justifiable. Malnutrition, EPI, and reproductive health programs never got the attention they deserved. _x000D_ _x000D_ The key conclusion of this study is that donors’ funding for public health in Somalia over the past decade could have been used more strategically. Better coordination among donors, local authorities, and implementers is now needed to avoid the mistakes of the past and to ensure that priority setting for future interventions is more evidence based and more results oriented.

Product Details

ISBN-13:	9780821387702
Publisher:	World Bank Publications
Publication date:	06/02/2011
Sold by:	Barnes & Noble
Format:	eBook
File size:	4 MB

Table of Contents

Foreword vii

Acknowledgments ix

Acronyms and Abbreviations xi

Executive Summary xiii

1 Background, Aim, and Objectives 1

Study's Aim and Objectives 1

Somalia Health Context in Brief 1

2 Conceptual Framework 5

Trends in Overall Aid to Developing Countries 5

Trends in Aid to the Health Sector 6

Trends in Aid to Fragile States 8

Trends in Aid to Somalia 11

3 Methodology 13

Approaches 13

Data Collection Process 14

Types of Quantitative Data Collected 14

Methodological Limitations and Challenges 16

Usefulness of the Data 18

4 Key Findings 19

Financial Aid Flows 19

Total Health Sector Aid Financing 20

Health Sector Aid by Disease and Program 23

Health Sector Aid by Zone 31

5 Conclusions and Recommendation 33

Conclusions 33

Recommendations 36

Appendixes 39

Appendix 1 Study Sample in 2007 Study (n = 26) 41

Appendix 2 Study sample in 2010 study (n = 38) 41

References 43