Donor Trends in International Health

1
Donor Trends in International Health

• Why invest in health?
• What has been the record in general and
  particularly in the case of IPPF?
• What are the priorities over the next 10 years

2
ODA to Development as of GNI

• UN General Assembly Resolution /October
• 1970 0.7 of GNI to ODA.
• Only 4 major donors have reached this in 2003
• - Norway 0.92
• - Denmark 0.84. But, 1.06 in 2000.
• - The Netherlands 0.81 (0.87 on eve of Cairo)
• - Sweden 0.70. But, 1.00 in 2006
• - By comparison, USA 0.14

3
ODA per US billion Comparison Europe, US and
Japan.

• - General decrease after Cairo and recovery from
  2002 and historical high in 2003
• - Increase in Europe and US and decrease in
  Japan.
• 1991-92 2002 2003
• Europe 32.2 32.6 40.2
• USA 11.5 13.9
  15.8
• Japan 11.0 9.3
  8.11
• Others 3.7 3.2
  3.6
• Total 58.4 58.3
  68.6

4
ODA to Health

• Promises made in Cairo not kept.
• Donors are spending less than US2 billion
  instead of 5 billion as per Cairo projections.
• Major increase of ODA to health in UK, US. But
  stagnation in Europe and Japan.
• 1990-92
  2001-02
• UK 9 29
• US 5 24
• Denmark 9 9
• Japan 2 2

5
ODA to Population and RH

• OECD components of Health
• 1990-98
  99-02
• General health 36 26
• Basic health 30 35
• Population 34 39
• Increase in population and basis health sectors
  and decrease in general health.

6
ODA to Family Planning and HIV/AIDS Comparison

• Gradual increase for F.P and HIV/AIDS after Cairo
  until 2000.
• Gain for HIV/AIDS at expense of F.P.
• (in US million)
• 1993 2000 2001
  2002
• F.P. 287 409 356
• HIV/AIDS 55 521 587 2200

7
International support to IPPF

• 1952-1973 Brave and Angry FP as a basic human
  right. Women political empowerment
• through FP
• 1973-1984 Strategic conversion with all donors.
  Population Stabilization, but within
  respect for Human Rights.
• 1984 to present. Europe permanent conversion.
• 1984 to 1992 and 2001 to present. US from
  conversion to diversion.
• 1984-1993 and 2001 to present
• Europe From conversion to diversion with
  US.

8
IPPF Income 1970-2002

• (in US million)
• 1970 1974 1985 1993 2002
• Total 5.5 30 51 105 93
• US 1.9 12 00 23
  00
• EU
  10
• US Foundations 4 9

9
Effect of GGR Examples from Africa

• Kenya 3 clinics closed (serving 56,000
  clients).
• Ghana 30 CBD outlets closed ( serving 2
  million people).
• Benin 4 CBD outlets closed.
• Botswana 1 clinic closed (serving 14,000
  clients).
• Ethiopia CBD program rescued by the Dutch
  Embassy.

10
Priorities for the next 10 yearsThree areas
lacking support

• . Unfinished business of family planning.
• Adolescent and Young Peoples Sexual and
  Reproductive Health.
• Womens right to legal and safe abortion.
• Universal access to RH services by 2015
• as the 9Th MDG