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Methodology to assess volumes and patterns of official development assistance (ODA) for health and HIV services: the reality of European governments'
financial contributions for the HIV response in developing countries in the period of 2007-2009
Marco Simonelli1, Joachim Rüppel2, Olga Golichenko3, Sieglinde Mauder2
1ActionAid Italy / Action for Global Health, Rome, Italy, 2Medical Mission Institute, Wurzburg, Germany,3International HIV/AIDS Alliance / Action for Global Health, Hove, United Kingdom
ODA Definition and CriteriaOfficial Development Assistance (ODA) is defined as those flows to developing countries and multilateral institutions provided by official agencies, including state and local governments, or by their executive agencies, each transaction of which meets the following tests: • it is administered with the promotion of the
economic development and welfare of developing countries as its main objective;
• it is concessional in character and conveys a grant element of at least 25 per cent.Source: OECD-DAC 2
Aid ActivitiesAid activities include:• projects and programmes• cash transfers• deliveries of goods• training courses• research projects• debt relief operations• contributions to non-governmental
organizations.3
Necessary Dimensions of ODA Analysis
This research attempts to analyse the volume of the Official Development Assistance (ODA) on the part of the 17 European countries belonging to the DAC (Development Assistance Committee / OECD) on the following levels: • Total volume of resources differentiating between official
figures and real resource transfers• ODA contributions for health promotion, and finally• ODA contributions for specific interventions to confront
HIV
A comprehensive and objective assessment of donor contributions for the response to the epidemic cannot focus solely on the aid for specific programmes of HIV prevention, treatment and support
Considering all Relevant Funding Channels or Mechanisms
• Bilateral flows (provided directly by a donor country to an aid recipient country)
• Multilateral flows (channelled via an international organization active in development e.g. World Bank, UN Organizations, Global Fund, etc.)
• Funding channelled via the European Commission represents a special case, but is subsumed by DAC/OECD as multilateral
5
Multilateral Health Financing Organizations
• IDA/World Bank• World Health Organization• UNAIDS (Unified Budget and Work Plan)• UNDP (United Nations Development Programme)• UNFPA (United Nations Population Fund)• UNICEF (United Nations Children's Fund)• Global Fund to Fight AIDS, Tuberculosis and Malaria• UNITAID• GAVI Alliance• International Finance Facility for Immunisation (IFFIm)• Advance Market Commitments (AMC)• African Development Fund• Asian Development Fund
Multilateral Health Financing Organizations, continued
• Drugs for Neglected Diseases initiative (DNDi)• Medicines for Malaria Venture (MMV)• Global TB Alliance • International Partnership for Microbicides (IPM)• International Initiative for AIDS Vaccine (IAVI)• World Food Program (WFP)• International Committee of the Red Cross• International Planned Parenthood Federation (IPPF)• Other…
Classification of Projects according to Needs Assessments developed by Millennium Project
(Health Sector) and UNAIDS (HIV Response)
Health funding needs include:• the cost of running a health system offering essential
medical interventions, such as emergency obstetric care, treatment for the major infectious diseases, and interventions to reduce child mortality.
• interventions primarily provided outside the health system, such as preventing major diseases and mitigating the social impact
8
Relevant Information SourcesSource Purposes and Contents
CRS Aid Activity database of DAC/OECD
Basic data on (sub-)sectors, recipients, policy issues and financial volumes on a disaggregated level, i.e. for individual activities, for bilateral and most multilateral organizations
DAC Statistics database Comprehensive data on the volume, origin andtypes of aid and resource flows on an aggregated level
World Bank Project Database
Data on recipients, sources, amounts of commitments and financial share of up to 5 sectors, as well as other aspects
Global Fund Pledges and Contributions Tables
Pledges made and contributions paid and unpaid for Global Fund
Annual Reports of Inter-national Organizations
Contributions paid to UN organizations, UNITAID, GAVI, etc. by donor; in some cases breakdowns by sector or theme
World Health Assembly Documentation
Status of collection of annual regular budget assessed contributions
National Health Accounts (NHA)
General government expenditure on health as % of total government expenditure
9
Methodological Features• The project-level information system of DAC/OECD
constitutes the most important basis for the analysis• Examination of every single aid activity reported in the
health and population sectors in order to determine the main purposes (linking activities over the years)
• Insufficient or contradictory data are complemented through web-based research and direct communication with implementing agencies
• Health-relevant projects recorded in other sectors are identified via text search and scrutinized accordingly
Result: consolidated and structured list of pertinent projects correcting for misclassifications, reporting errors and double counting
Examples of Reporting Problems
Other flows recorded as Health Projects: Annual Action Programme for the Thematic Programme on Cooperation in the Area of Migration and Asylum for 2009, Commitment: 60.3 million US$Population Census support initiative,Disbursement in 2009: 1 million US$Recherche et analyse démographique Total Disbursements in 2009: 7 million US$Programa de Apoyo a la Política Nacional de Seguridad Alimentaria Nutricional (Food Security)Disbursement in 2009: 12.5 million US$
Examples of Reporting Problems
Other flows recorded as HIV control: Total commitment of 30 million Euros: 24 million
sector budget support, 3 million for technical assistance to the Ministry of Health, and 3 million to help the National AIDS Council (imputed HIV support: 5.7 million Euros or 19%)
Co-Financing Health Sector Budget SupportDisbursement in 2009: 8.4 million US$
General medical and laboratory equipment, laboratory infrastructure and laboratory design componentsDisbursements in 2009: 24.8 million US$
Examples of Reporting Problems
Core contributions to international organizations recorded as bilateral aid (potential double counting):
France for UNITAIDDisbursements in 2008: 207.7 million US$
Germany for UNAIDSDisbursement in 2009: 4.9 million US$
United Kingdom for International Partnership on MicrobicidesDisbursement in 2009: 9.8 million US$
Examples of Reporting Problems
HIV Components not recorded as HIV control:European and Developing Countries Clinical Trials Partnership (EDCTP), to help facilitate and develop clinical trials for new drugs and vaccines against HIV/AIDS, malaria and TBTotal disbursement in 2007: 53.6 million US$, imputable HIV contribution: 32.2 million US$
Higher Education HIV & AIDS (HEAIDS)Disbursement in 2007: 0.7 million US$
Emergency Food Aid for HIV/AIDS-patientsDisbursements in 2009: 1 million US$
General ODA• OECD-accepted ODA includes expenditure items and
accounting entries that do not represent real transfers of financial, technical or personnel resources, namely debt relief, imputed student costs, administrative costs and expenditure for refugees in donor countries
• Some European DAC countries provide a considerable part of their ODA in the form of loans, a practice that contravenes the orientation towards needs.
• Real ODA Grant Transfers after deducting these questionable items show great differences and are in many cases significantly lower than official figures
-860 -979-1,525
-1,034 -993 -900 -847
2,322 2,211 2,544 2,691 3,060 3,421 3,344
188 207151 88
159
666 6511,799 1,758
2,176 2,2322,147
1,722 2,206496 658
764 733
1,329
1,8731,859
1,412
2,706
2,789
1,094
675
1,0091,290
-2,000
-1,000
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
11,000
12,000
2004 2005 2006 2007 2008 2009 2010
Administrative Costs
Refugees in donor countriesImputed student costs
Debt Relief
Bilateral Loans
Bilateral Grants (real Transfers)Multilateral Loans
Multilateral Grants
Repayments (negative amount)
Evolution of France'sODA 2004-2010:
Composition ofGross Disbursementsand Repayments from Recipients
Euro Million
Data for multilateral loans in 2010 arenot available yet and were calculated on the basis of the proportions of loans in the previous year
0.41%
0.47% 0.47%
0.38% 0.39%
0.47% 0.50%
0.24% 0.23% 0.23%0.25%
0.29%0.35% 0.37%
0.20%0.18% 0.18%
0.20% 0.21% 0.22%0.24%
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
2004 2005 2006 2007 2008 2009 2010
DAC standard
Real Transfers
Grants only
Evolution of France'sODA in relation to Gross national Income:
ODA ratios according to different modes of calculation
Collective Intermediate Target of EU: 0.56% of GNI
Minimum Target of EU: 0.51% of GNI
-934 -843 -1,053 -927 -890 -868 -1,011
2,9942,120
2,709 3,171 3,410 3,578 3,556
2,190
2,536
2,7692,849
3,3513,826 4,071583
573
854917
1,145
1,158
1,914
397
2,802
2,1212,066
1,778 61
125
-2,000
-1,000
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
11,000
12,000
2004 2005 2006 2007 2008 2009 2010
Administrative Costs
Refugees in donor countriesImputed student costs
Debt Relief
Bilateral Loans
Bilateral Grants (real Transfers)Multilateral Loans
Multilateral Grants
Repayments (negative amount)
Evolution of Germany'sODA 2004-2010:
Composition ofGross Disbursementsand Repayments from Recipients
Euro Million
0.28%
0.36% 0.36% 0.37% 0.38%0.35%
0.38%
0.22%0.19%
0.23%0.25%
0.28% 0.31% 0.34%
0.19%0.17%
0.19%0.21%
0.23%0.27% 0.26%
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
2004 2005 2006 2007 2008 2009 2010
DAC standard
Real Transfers
Grants only
Evolution of Germany'sODA in relation to Gross National Income:
ODA ratios according to different modes of calculation
Collective Intermediate Target of EU: 0.56% of GNI
Minimum Target of EU: 0.51% of GNI
0.36%
0.47%0.51%
0.36%
0.43%
0.51%
0.56%
0.30% 0.30%
0.35%0.33%
0.39%
0.49%
0.54%
0.28% 0.29%
0.33%0.30%
0.36%
0.46%
0.51%
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
2004 2005 2006 2007 2008 2009 2010
DAC standard
Real Transfers
Grants only
Evolution ofUnited Kongdom'sODA in relation to Gross National Income:
ODA ratios according to different modes of calculation
Collective Intermediate Target of EU: 0.56% of GNI
Minimum Target: 0.51% of GNI
0.45% 0.44%0.41%
0.44%0.46% 0.48%
0.30% 0.31%0.33%
0.36%0.40%
0.41%
0.28% 0.28% 0.30%0.33%
0.36% 0.36%
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
2005 2006 2007 2008 2009 2010
DAC standard
Real Transfers
Grants only
as a % of GNI
Evolution of EuropeanDAC member's ODAin relation to Gross National Income:
ODA ratios according to different
Collective Intermediate Target of EU: 0.56% of GNI
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
2005 2006 2007 2008 2009 2010
DAC standard
Real Transfers
Grants only
GNI
Share of EuropeanDAC member's ODAin relation to all DAC Members
0.13%
0.13%
0.17%
0.24%
0.24%
0.26%
0.30%
0.33%
0.46%
0.49%
0.50%
0.51%
0.67%
0.80%
0.85%
0.92%
1.04%
0.13%
0.14%
0.27%
0.24%
0.36%
0.34%
0.38%
0.34%
0.47%
0.50%
0.50%
0.54%
0.67%
0.81%
0.85%
0.94%
1.04%
0.00% 0.10% 0.20% 0.30% 0.40% 0.50% 0.60% 0.70% 0.80% 0.90% 1.00% 1.10%
Greece
Italy
Portugal
Austria
France
Germany
Spain
Switzerland
Belgium
Finland
Ireland
United Kingdom
Netherlands
Denmark
Sweden
Norway
Luxembourg
Official Development Assistance of European DAC Member Countries:Real ODA Transfers and Grants in relation to Gross National Income (GNI)
Real Transfers
Grants only
MinimumRatio of EUfor 2010: 0.51%
UN Targetsince 1970: 0.7%
ODA for Health• Only four out of 17 countries (Luxemburg, Norway,
Sweden and Ireland) reached in 2009 the target level of 0.1% recommended by the Commission on Macroeconomics and Health
• Only the first three countries achieved the target of 0.12% of GNI based on the assumption that European DAC countries cover at least 50% of financing needs
• The main part of the European gap results from the fact that most of the larger economies (Germany, France, Italy, Spain) fall far short of the targets
• The extremely low contributions from some medium-sized economies (Austria, Switzerland) also have a considerable negative impact
2007 2008 2009Share in %
2007 2008 2009 2007 2008 2009 2007 2008 2009
Specific HIV Interventions 59.2 110.0 115.5 100% 59.2 110.0 115.5 57.6 104.6 112.5 1.6 5.4 2.9
Projects of Reproductive Health 15.9 31.6 65.1 25% 4.0 7.9 16.3 15.9 31.4 58.1 0.0 0.1 7.0
Health Sector Programmes 167.8 227.3 221.3 10% 16.8 22.7 22.1 166.9 215.5 218.0 0.9 11.8 3.2
Child health 0.0 0.6 3.5 10% 0.0 0.1 0.3 0.0 0.6 3.4 0.0 0.0 0.1
Immunisation 83.8 66.2 73.9 0% 0.0 0.0 0.0 83.8 66.2 73.9 0.0 0.0 0.0
Other Health Problems 24.4 35.5 40.6 0% 0.0 0.0 0.0 23.8 35.4 40.6 0.6 0.1 0.0
ODA for Specific Health Projects 351.1 471.2 519.9 XXX 79.9 140.7 154.2 348.1 453.7 506.6 3.1 17.5 13.2
General Budget Support 10.8 20.1 19.4 10% 1.1 2.0 1.9
Total Bilateral ODA for Health 361.9 491.3 539.2 XXX 81.0 142.7 156.2
Memo: Emergency Projects 0.0 0.0 0.0 XXX na na na
Memo: Multilateral shown separately 22.6 22.4 7.4 XXX na na na
Memo: Other Sectors recorded as Health 9.4 3.8 4.2 XXX na na na
Share of Bilateral Real ODA 6.8% 6.2% 6.8% XXX 1.5% 1.8% 2.0%
Germany's Bilateral ODA Contributions for Health Promotion and the Response to the HIV Epidemic (US$ millions)
CommitmentsRecorded in Health
SectorsRecorded in Other
Sectors
Category of Aid Activity
Contributions for Health Contributions for HIV Response Total Contributions Total Contributions
2007 2008 2009Share in %
2007 2008 2009 2007 2008 2009 2007 2008 2009
Specific HIV Interventions 75.0 85.2 91.4 100% 75.0 85.2 91.4 73.0 82.3 88.3 2.0 2.8 3.1
Projects of Reproductive Health 40.0 30.1 36.6 25% 10.0 7.5 9.2 38.2 28.2 34.5 1.8 1.9 2.2
Health Sector Programmes 141.6 188.9 218.1 10% 14.2 18.9 21.8 140.3 177.1 212.2 1.2 11.8 5.9
Child health 0.5 2.0 4.2 10% 0.0 0.2 0.4 0.5 2.0 4.2 0.0 0.0 0.0
Immunisation 40.5 65.4 27.1 0% 0.0 0.0 0.0 40.5 65.4 27.1 0.0 0.0 0.0
Other Health Problems 25.7 29.6 30.0 0% 0.0 0.0 0.0 25.7 29.5 30.0 0.0 0.1 0.0
ODA for Specific Health Projects 323.2 401.1 407.3 XXX 99.2 111.8 122.8 318.1 384.5 396.1 5.1 16.7 11.2
General Budget Support 10.5 7.8 19.6 10% 1.0 0.8 2.0
Gross Bilateral ODA for Health, total 333.7 408.9 426.8 XXX 100.2 112.6 124.7
Imputable Repayments -37.5 -38.2 -36.5 XXX -0.1 -0.1 -0.1
Net Bilateral ODA for Health, total 296.2 370.7 390.4 XXX 100.1 112.5 124.6
Memo: Emergency Projects 0.0 0.0 0.0 XXX na na na
Memo: Multilateral shown separately 25.7 13.2 14.3 XXX na na na
Memo: Other Sectors recorded as Health 6.3 7.9 14.3 XXX na na na
Share of Bilateral Real ODA 7.8% 7.3% 7.0% XXX 2.6% 2.2% 2.2%
Category of Aid Activity
Contributions for Health Contributions for HIV Response Total Contributions Total Contributions
DisbursementsRecorded in Health
SectorsRecorded in Other
Sectors
Germany's Bilateral ODA Contributions for Health Promotion and the Response to the HIV Epidemic (US$ millions)
2007 2008 2009 2010 2007 2008 2009 2010 2007 2008 2009 2010 2007 2008 2009 2010 2007 2008 2009 2010
Europ. Union 2,452.3 2,812.6 2,891.0 2,926.0 200.1 224.1 199.2 201.6 60.8 56.3 41.6 42.1 8.2% 8.0% 6.9% 6.9% 2.5% 2.0% 1.4% 1.4%
IDA / World Bank 1,097.1 1,135.8 1,029.7 691.92 116.0 118.2 95.3 56.9 36.5 37.8 23.5 17.7 10.6% 10.4% 9.3% 8.2% 3.3% 3.3% 2.3% 2.6%
WHO core 29.4 30.9 31.1 30.2 29.4 30.9 31.1 30.2 2.7 2.9 3.0 2.9 100.0% 100.0% 100.0% 100.0% 9.1% 9.5% 9.5% 9.5%
UNAIDS 1.6 2.7 5.1 3.6 1.6 2.7 5.1 3.6 1.6 2.7 5.1 3.6 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
UNDP 47.0 40.7 38.4 29.5 1.7 1.4 1.5 1.2 1.6 1.2 1.5 1.1 3.7% 3.3% 4.0% 4.0% 3.5% 3.0% 3.8% 3.8%
UNFPA 25.7 26.0 25.1 19.5 21.5 21.4 18.0 14.0 7.5 8.4 7.7 6.0 83.7% 82.3% 71.7% 71.7% 29.2% 32.3% 30.5% 30.5%
UNICEF 6.1 8.3 9.1 8.2 1.2 1.5 2.1 1.9 0.4 0.5 0.5 0.5 19.4% 17.7% 23.3% 23.3% 6.9% 5.4% 6.0% 6.0%
Global Fund 116.7 312.2 271.4 265.8 116.7 312.2 271.4 265.8 74.3 192.9 127.5 124.8 100.0% 100.0% 100.0% 100.0% 63.7% 61.8% 47.0% 47.0%
UNITAID 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 49.3% 49.3% 49.3% 49.3%
GAVI 5.9 0.0 5.7 5.1 5.9 0.0 5.7 5.1 0.1 0.0 0.1 0.1 100.0% 100.0% 100.0% 100.0% 2.5% 2.7% 1.3% 1.3%
IFFIm 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 2.5% 2.7% 1.3% 1.3%
AMC 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 2.5% 2.7% 1.3% 1.3%
AfDF 125.7 213.3 217.3 222.3 13.0 18.4 11.6 11.8 1.9 3.4 1.7 1.7 10.4% 8.6% 5.3% 5.3% 1.5% 1.6% 0.8% 0.8%
AsDF 50.6 53.3 52.5 53.7 0.8 0.9 1.1 1.1 0.1 0.1 0.1 0.1 1.5% 1.6% 2.1% 2.1% 0.2% 0.2% 0.2% 0.2%
WFP 65.8 100.7 132.1 168.0 1.4 2.4 3.4 4.3 1.4 2.4 3.4 4.3 2.1% 2.4% 2.6% 2.6% 2.1% 2.4% 2.6% 2.6%
DNDi 0.0 0.5 1.0 0.0 0.0 0.5 1.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 0.0% 0.0% 0.0% 0.0%
MMV 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 0.0% 0.0% 0.0% 0.0%
Global TB Alliance 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 0.0% 0.0% 0.0% 0.0%
IPM 1.4 1.4 1.4 1.4 1.4 1.4 0.0 1.4 1.4 1.4 0.0 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
IAVI 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
ICRC 19.8 30.7 28.4 28.6 1.5 2.9 3.6 3.6 0.2 0.3 0.4 0.4 7.8% 9.5% 12.7% 12.7% 0.8% 0.9% 1.3% 1.3%
IPPF 4.9 5.2 8.3 5.9 4.9 5.2 8.3 5.9 1.2 1.3 2.1 1.5 100.0% 100.0% 100.0% 100.0% 25.0% 25.0% 25.0% 25.0%
FIND na 0.0 0.0 na 0.0 0.0 0.0 na 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 0.0% 0.0% 0.0% 0.0%
IUATLD 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 100.0% 100.0% 100.0% 100.0% 0.0% 0.0% 0.0% 0.0%
Other: BACKUP-Initiative (Global Fund) 13.1 5.0 8.0 8.0 13.1 5.0 8.0 8.0 8.3 3.1 3.8 3.8 100.0% 100.0% 100.0% 100.0% 63.7% 61.8% 47.0% 47.0%
Total Multilateral (relevant Org.) 4,063.1 4,779.3 4,755.5 4,466.2 530.2 749.0 667.8 615.1 200.1 314.7 223.1 210.4
Bilateral Health Projects na na na na 323.2 401.1 407.3 447.4 99.2 111.8 122.8 125.0
General Budget Support 72.9 56.5 136.1 136.1 10.5 7.8 19.6 16.8 1.0 0.8 2.0 1.7
Imputable repayments -1,230.3 -1,255.0 -1,196.6 -1,422.2 -37.5 -38.2 -36.5 -43.3 -0.1 -0.1 -0.1 -0.1
Net Bilateral Real Transfers total 3,794.3 5,086.4 5,585.5 6,587.8 296.2 370.7 390.4 420.8 100.1 112.5 124.6 126.5
Net ODA (Real Transfers), total 8,226.7 10,118.6 10,714.5 11,297.3 826.4 1,119.7 1,058.2 1,035.9 300.2 427.1 347.7 337.0
Total Contributions as a % of GNI 0.25% 0.28% 0.31% 0.34% 0.025% 0.031% 0.031% 0.031% 0.009% 0.012% 0.010% 0.010%
Share of Total Real ODA Transfers na na na na 10.0% 11.1% 9.9% 9.2% 3.6% 4.2% 3.2% 3.0%
Net ODA (Real Transfers), total, Euro 6,009.6 7,015.2 7,694.1 8,529.9 603.7 776.3 759.9 782.1 219.3 296.1 249.7 254.4
Net ODA per cap. of devel. regions US$ 1.53 1.86 1.95 2.03 0.15 0.21 0.19 0.19 0.06 0.08 0.06 0.06
Share of Health Pomotion Share of HIV ResponseFinancing Mechanism
Germany's ODA Disbursements for Health Promotion and HIV Response through multilateral Organizations and Total Estimate
Total ODA ContributionsODA Contributions for Health
PomotionODA Contributions for HIV Response
0.013%
0.014%
0.017%
0.017%
0.028%
0.031%
0.041%
0.050%
0.052%
0.056%
0.078%
0.091%
0.098%
0.103%
0.132%
0.149%
0.186%
0.000% 0.100% 0.200%
Portugal
Greece
Austria
Italy
Switzerland
Germany
France
Spain
Finland
Belgium
United Kingdom
Denmark
Netherlands
Ireland
Sweden
Norway
Luxembourg
Official Development Assistance of European DAC Member Countries: Net Disbursements for Health Promotion in relation to Gross National Income (GNI) including Loans
2009
2008
2007
AppropriateContribution Levelfor EuropeanDonors: 0.12%
0.013%
0.014%
0.017%
0.017%
0.028%
0.031%
0.041%
0.050%
0.052%
0.056%
0.078%
0.091%
0.098%
0.103%
0.132%
0.149%
0.186%
0.013%
0.014%
0.017%
0.017%
0.028%
0.029%
0.041%
0.048%
0.052%
0.056%
0.078%
0.091%
0.098%
0.103%
0.132%
0.149%
0.186%
0.000% 0.100% 0.200%
Portugal
Greece
Italy
Austria
Switzerland
Germany
France
Spain
Finland
Belgium
United Kingdom
Denmark
Netherlands
Ireland
Sweden
Norway
Luxembourg
Official Development Assistance of European DAC Member Countries: Net Disbursements for Health Promotion in relation to Gross National Income (GNI) with and without Loans
Grants only
All Transfers
AppropriateContribution Levelfor EuropeanDonors: 0.12%
-200
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
Volumes and Composition of European's DAC Members ODA for Health in 2009Ranked by GNI, Lending includes ODA Loans and Equity Investments
Bilateral Lending
Bilateral Grants
Multilateral Grants
Imputable Repayments
US$ million
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
ODA Transfers and Grants of European's DAC Members for Health in 2009Ranked by GNI, Lending includes ODA Loans and Equity Investments
Target Volume 0.12% of GNI
Target Volume 0.1% of GNI
Net ODA Transfers for Health
Net ODA Grants for Health
US$ million
ODA for HIV Response• The analysis was completed for 11 countries with higher
GNI representing 92% of total GNI of European DAC members
• We observe abysmal differences regarding financial efforts: Whereas few countries contributed their fair share others paid less than a tenth of what they should pay
• Again, the backlog of the majority of larger economies (Germany, France, Spain and especially Italy) is responsible for the main part of the gap
• The effect of the correction through project-by-project review is even larger than in the case of ODA for health
Health sector
Other sectors 1) Total
Officially reported 126.7 2.4 129.1 100%
Excluded after revision 40.4 0.1 40.5 31%
Correctly reported 86.3 2.3 88.5 69%
Identified in other (sub)-sectors 2.0 0.8 2.8 2%
Total revised 88.3 3.1 91.4 71%
8.6 0.5 9.2 7%
21.6 0.6 22.2 17%
118.5 4.3 122.8 95%
Category
Results of the Review Project by Project in the case of Germany's ODA for the HIV Response in the year 2009
1) Including purpose of social mitigation of HIV
Amounts disbursed in US$ million Share of official
reported
Specific HIV interventions
Imputed HIV components in reproductive health
Imputed HIV components in sector-wide approaches
Total revised estimate of HIV projects and components
0.003%
0.004%
0.007%
0.010%
0.014%
0.015%
0.015%
0.024%
0.039%
0.046%
0.057%
0.000% 0.010% 0.020% 0.030% 0.040% 0.050% 0.060% 0.070% 0.080% 0.090% 0.100%
Italy
Austria
Switzerland
Germany
France
Belgium
Spain
United Kingdom
Netherlands
Norway
Sweden
Official Development Assistance of European DAC Member Countries:Net Disbursements for the HIV Response in relation to Gross National Income (GNI)
2009
2008
2007
AppropriateContribution Levelfor EuropeanDonors: 0,05%
Geographic Distribution
• Analysis of Health ODA per capita made available by 5 larger economies and the European Union casts doubt on coordination and orientation towards countries with highest needs
• Final appraisal will take into account ODA for Health promotion and HIV response by all donors
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
2007 2008 2009 2007 2008 2009
Share of Sub-Saharan Africa in ODA for Health and for HIV Response by European Donors
France Germany Italy Spain United Kingdom European Union
ODA for Health ODA for HIV Response
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
11.00
12.00
13.00
14.00
Equa
toria
l Gui
nea
Djib
outi
Gren
ada
Mol
dova
Zimba
bwe
Pales
tinian
Adm
. Are
asSie
rra
Leon
eM
alaw
iZa
mbi
aLib
eria
Moz
ambi
que
Rwan
daCo
mor
osNa
mib
iaSe
rbia
St. L
ucia
Guin
ea-B
issau
Mau
ritan
iaLib
yaCa
pe V
erde
Cam
bodi
aSa
o To
me
& Pr
incip
eBu
rkin
a Fas
oSe
nega
lNi
cara
gua
Guya
naKy
rgyz
Rep
.Bu
rund
iM
oroc
coGh
ana
Beni
nKe
nya
Peru
Gabo
nTa
nzan
iaAf
ghan
istan
Cent
ral A
frica
n Re
p.Ba
rbad
osTo
goAl
bani
aNi
ger
Ango
laSu
rinam
eCo
ngo,
Dem
. Rep
.M
aliLe
bano
nSw
azila
ndLe
soth
oSo
uth
Afric
aBo
livia
Nepa
lEl
Salva
dor
Syria
Para
guay
Ugan
daM
onte
negr
oTa
jikist
anGe
orgia
Jam
aica
Cam
eroo
nDo
min
ican
Repu
blic
Chad
Nige
riaTim
or-L
este
Som
alia
Ethi
opia
Guin
eaAr
genti
naM
yanm
arLa
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snia
and
Herz
egov
ina
Guat
emala
Haiti
Arm
enia
Ecua
dor
Gam
bia
Viet
Nam
Cong
o, R
ep.
Tuni
siaTr
inid
ad &
Tob
ago
Bhut
anCô
te d
'Ivoi
reM
ongo
liaJo
rdan
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enBa
nglad
esh
Hond
uras
Philip
pine
sSu
dan
Urug
uay
Indi
aPa
pua N
ew G
uine
aM
aced
onia,
FYR
Cuba
Uzbe
kista
nIra
qAz
erba
ijan
Egyp
tPa
nam
aUk
rain
eIn
done
siaBo
tsw
ana
Mad
agas
car
Pakis
tan
Kaza
khst
anKo
sovo
Vene
zuela
Eritr
eaTh
ailan
dSr
i Lan
kaCh
ina
Colo
mbi
aCh
ileBe
larus Fij
iCo
sta R
icaKo
rea,
Dem
. Re
p.M
exico
Braz
ilCr
oatia
Alge
riaSo
lom
on Is
lands
Turk
ey
ODA for Health from Five European DAC Members per Capita in 2009, all Recipients
European Union
United Kingdom
Spain
Italy
Germany
France
US$
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
11.00
12.00
13.00
14.00
Equa
toria
l Gui
nea
Djib
outi
Gre
nada
Mol
dova
Zim
babw
ePa
lesti
nian
Adm
. Are
asSi
erra
Leon
eM
alaw
iZa
mbi
aLi
beria
Moz
ambi
que
Rwan
daCo
mor
osN
amib
iaSe
rbia
St. L
ucia
Gui
nea-
Biss
auM
aurit
ania
Liby
aCa
pe V
erde
Cam
bodi
aSa
o To
me
& P
rinci
peBu
rkin
a Fa
soSe
nega
lN
icar
agua
Guy
ana
Kyrg
yz R
ep.
Buru
ndi
Mor
occo
Gha
naBe
nin
Keny
aPe
ruG
abon
Tanz
ania
Afgh
anis
tan
Cent
ral A
fric
an R
ep.
Barb
ados
Togo
Alba
nia
Nig
erAn
gola
Surin
ame
Cong
o, D
em. R
ep.
Mal
iLe
bano
nSw
azila
ndLe
soth
oSo
uth
Afric
aBo
livia
Nep
alEl
Sal
vado
rSy
riaPa
ragu
ayU
gand
aM
onte
negr
oTa
jikis
tan
Geo
rgia
Jam
aica
Cam
eroo
nD
omin
ican
Rep
ublic
Chad
ODA for Health from Five European DAC Members per Capita in 2009, Recipients > 1€
European Union
United Kingdom
Spain
Italy
Germany
France
US$
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
11.00
12.00
13.00
14.00
Equa
toria
l Gui
nea
Djib
outi
Zim
babw
e
Mau
ritius
Sier
ra Le
one
Mal
awi
Zam
bia
Libe
ria
Moz
ambi
que
Rwan
da
Com
oros
Nam
ibia
Gui
nea-
Biss
au
Mau
ritan
ia
Cape
Ver
de
Sao
Tom
e &
Prin
cipe
Burk
ina
Faso
Sene
gal
Buru
ndi
Gha
na
Beni
n
Keny
a
Gab
on
Tanz
ania
Cent
ral A
fric
an R
ep.
Togo
Nig
er
Ango
la
Cong
o, D
em. R
ep.
Mal
i
Swaz
iland
Leso
tho
Sout
h Af
rica
Uga
nda
Cam
eroo
n
Chad
Nig
eria
Som
alia
Ethi
opia
Gui
nea
Gam
bia
Cong
o, R
ep.
Côte
d'Iv
oire
Suda
n
Bots
wan
a
Mad
agas
car
Eritr
ea
ODA for Health from Five European DAC Members per Capita in 2009, Sub-Saharan Africa
European Union
United Kingdom
Spain
Italy
Germany
France
US$
Next steps• Action for Global Health plans to develop partnerships with
local organisations from civil society in order to track the internal ODA flows in a sample of African countries including the allocation by sub-regions, delivery channels, target populations and programmatic orientations. This in-depth analysis will consider the interplay with other funding sources, mainly the resources raised domestically by the general government and households. Thereby we expect to produce reliable results and to contribute, simultaneously, to strengthening the capacity of democratic control in the field of development and health financing
More information see: www.actionforglobalhealth.eu
www.medmissio.de