INTERNATIONAL HEALTH FINANCING

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INTERNATIONAL HEALTH FINANCING
PAN AMERICAN HEALTH ORGANIZATION WORLD HEALTH
ORGANIZATION
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HEALTH A HIGHER PROFILE IN THE INTERNATIONAL
AGENDA

• Visibility of UN and WHO efforts
• Discussions in high level international fora
• (G8, G77, EU, UN General Assembly)

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INITIATIVES TO ADDRESS GLOBAL THREATS

• UNAIDS (1996)
• GAVI (1999)
• GFAH UNGASS ON AIDS (2001)
• UNGASS ON CHILDREN (Postponed)

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HEMISPHERIC INITIATIVES

• SUMMITS OF THE AMERICAS
• MIAMI (1994)
• SANTIAGO (1998)
• QUEBEC (2001)

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HEMISPHERIC INITIATIVES

• IBEROAMERICAN SUMMITS
• CONFERENCES OF FIRST LADIES

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HEMISPHERIC INITIATIVES

• AFTER SEPTEMBER 11, 2001
• HEALTH PREPAREDNESS
• AGAINST
• BIOTERRORISM

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HEMISPHERIC INITIATIVES

• CONSULTATIVE GROUPS
• Sub-national, national, bi-national and
  sub-regional focus
• Address health issues within the development
  context

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INTERNATIONAL DEVELOPMENT GOALS

• HALVE EXTREME POVERTY
• BY THE YEAR 2015

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INTERNATIONAL DEVELOPMENT GOALS

• HEALTH-SPECIFIC GOALS BY 2015
• Reduce infant child mortality by 2/3
• Reduce maternal mortality by 3/4
• Access for all to reproductive health services

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INTERNATIONAL DEVELOPMENT GOALS

• SHAPED DONORS POLICIES
• FOSTERED DEVELOPMENT PLANNING EFFORTS AMONG
  INTERNATIONAL COMMUNITY

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PLANNING EFFORTS TO MEET INTERNATIONAL
DEVELOPMENT GOALS

• UN AGENCIES COMMON COUNTRY ASSESSMENT
  PROGRAMMING PROCESS (CCA)
• UNDAF

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PLANNING EFFORTS TO MEET INTERNATIONAL
DEVELOPMENT GOALS

• WORLD BANK
• COMPREHENSIVE DEVELOPMENT FRAMEWORK (CDF)
• POVERTY REDUCTION STRATEGY PAPERS (PRSP)

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SHARED AGENDA FOR HEALTH IN THE AMERICAS
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RESOURCE MOBILIZATIONPAHO/WHO

• OFFICIAL DEVELOPMENT AGENCIES
• Annual Consultations - Meeting of Interested
  Parties (MIP)
• Increasingly bilateral at country level (national
  ownership, local decision-making), SWAPs
• Programmatic Focus at regional sub-regional
  levels

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RESOURCE MOBILIZATIONPAHO/WHO

• NEW APPROACHES
• Special Trust Funds for Expertise Sharing
• (Canada, The Netherlands, Sweden)
• Private Foundations - NGOs
• (Gates, UNF)

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OFFICIAL DEVELOPMENT ASSISTANCE - (ODA)

• US 53.1 billion in 2000
• Largest donors
• In absolute terms Japan USA
• In relative terms Denmark, The Netherlands,
  Sweden, Norway

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NET ODA - 2000
Source Reproduced from the Organisation for
Economic Co-operation and Development.
Development Assistance Committee
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NET ODA AS A OF GNP
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OFFICIAL DEVELOPMENT ASSISTANCE - (ODA)

• 2/3 of ODA Bilateral
• Largest Recipients Sub-Saharan Africa Asia
• LAC 11.9 of the total in 1998-99

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TOTAL NET ODA RECEIPTS TO LAC, BY SUBREGION
Source Organisation for Economic Co-operation
and Development. Efforts and Policies of the
Members of the Development Assistance Committee.
Development Co-operation 2000 Report.
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INTERNATIONAL HEALTH FINANCING, 1973-1998
Constant (1997 prices)
US million
Trend (growth rate 3.3)
Current
Source Reproduced from the Organisation for
Economic Co-operation and Development.
Development Assistance Committee. Recent Trends
in Official Development Assistance to Health.
Chart 1. Paris September 2000.
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AID TO HEALTH BY SECTOR1990-1998
(inner bilateral outer total ODA)
Basic health
General health
Population
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AID TO HEALTH AS A OF DONORS TOTAL AID,
1996-1998
Source Organisation for Economic Co-operation
and Development. Efforts and Policies of the
Members of the Development Assistance Committee.
Development Co-operation 2000 Report. Paris
2001.
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TOP TEN DONORS TO HEALTH IN LAC, 1996-1998

• US million of Total ODA
• annual average to
  Health in the Americas
• United States 118.0 33
• Spain 67.1 19
• IDB (Special Fund) 42.4 12
• Japan 34.3 9
• Germany 17.3 5
• Netherlands 17.3 5
• United Kingdom 11.5 3
• Sweden 8.9 2
• France 8.3 2
• IDA 8.0 2
• Other 28.5 8
• ALL DONORS TOTAL 361.5 100

Source Adapted from the Organisation for
Economic Co-operation and Development.
Development Assistance Committee. Recent Trends
in Official Development Assistance to Health.
Table A-4. Paris September 2000.
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TOP TEN RECIPIENTS OF AID TO HEALTH IN LAC,
1996-1998

• US million of LAC health ODA
• Nicaragua 51 14
• Bolivia 39 11
• Guatemala 36 10
• Peru 29 8
• Honduras 28 8
• Dominican Republic 26 7
• Haiti 24 7
• El Salvador 16 4
• Colombia 15 4
• Ecuador 12 3
• Other 86 24
• TOTAL FOR LAC 361
  100

Source Adapted from the Organisation for
Economic Co-operation and Development.
Development Assistance Committee. Recent Trends
in Official Development Assistance to Health.
Table A-7. Paris September 2000.
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TOP TEN RECIPIENTS OF AID TO HEALTH IN LAC,
1996-1998(as of countrys total ODA receipts)

• of Total ODA Receipts
• Dominican Republic 31
• Panama 23
• Chile 19
• Colombia 18
• Guatemala 18
• Costa Rica 14
• Antigua Barbuda 13
• Suriname 12
• El Salvador 11
• Nicaragua 9

Source Adapted from the Organisation for
Economic Co-operation and Development.
Development Assistance Committee. Recent Trends
in Official Development Assistance to Health.
Table A-7. Paris September 2000.
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Resource Mobilization at PAHO by Major Source of
Funding, 1996 -1997 and 1998-1999 (disbursements)
Private and Non-Profit
Bilateral
International/Multilateral
Source Pan American Health Organization.
Department of Budget and Finance/Budget and
Reports. Washington, D.C. August 2001
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RESOURCE MOBILIZATION AT PAHO BY DONOR, 1996 -
2000 (disbursements)
US
Source Pan American Health Organization.
Department of Budget and Finance/Budget and
Reports. Washington, D.C. August 2001
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INTERNATIONAL HEALTH FINANCING