Do sector wide approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries

Sweeney, Rohan, Mortimer, Duncan and Johnston, David W. 2014, Do sector wide approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries, Social science and medicine, vol. 105, pp. 38-46, doi: 10.1016/j.socscimed.2013.12.026.

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Title Do sector wide approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries
Author(s) Sweeney, RohanORCID iD for Sweeney, Rohan
Mortimer, Duncan
Johnston, David W.
Journal name Social science and medicine
Volume number 105
Start page 38
End page 46
Total pages 9
Publisher Eselvier
Place of publication Amsterdam, The Netherlands
Publication date 2014-03
ISSN 0277-9536
Keyword(s) Aid coordination
Aid harmonisation
Developing countries
Development assistance for health
Health financing
Official development assistance
Sector Wide Approach
Financial Support
Health Care Rationing
Health Care Sector
Science & Technology
Social Sciences
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Social Sciences, Biomedical
Biomedical Social Sciences
Summary Sector Wide Approaches (SWAp) emerged during the 1990s as a new policy mechanism for aid delivery. Eschewing many features of traditional project-based aid, SWAps give greater control of aid allocation to recipient countries. Some critics have questioned whether reducing a donor's level of influence over aid allocation might lead to a decrease in donor contributions. While some qualitative evaluations have described the level of fund pooling and donor participation in SWAps, no previous study has empirically examined this potential 'donor-flight' response to health SWAp implementation. This paper utilises a uniquely compiled dataset of 46 low-income countries over 1990-2009 and a variety of panel data regression models to estimate the impact of health SWAp implementation on levels of health aid. Results suggest that amongst 16 especially poor low-income countries, SWAp implementation is associated with significant decreases in health aid levels compared with non-implementers. This suggests donors are not indifferent to how their contributions are allocated by recipients, and that low-income countries considering a SWAp may need to weigh the benefits of greater control of aid allocations against the possibility of reduced aid income.
Language eng
DOI 10.1016/j.socscimed.2013.12.026
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1601 Anthropology
1608 Sociology
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Elsevier Ltd.
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Document type: Journal Article
Collections: Faculty of Health
Population Health
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