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Globalization and Health
Published in: Globalization and Health 1/2013

Open Access 01-12-2013 | Research

Aid alignment: a longer term lens on trends in development assistance for health in Uganda

Authors: Elizabeth Stierman, Freddie Ssengooba, Sara Bennett

Published in: Globalization and Health | Issue 1/2013

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Abstract

Background

Over the past decade, development assistance for health (DAH) in Uganda has increased dramatically, surpassing the government’s own expenditures on health. Yet primary health care and other priorities identified in Uganda’s health sector strategic plan remain underfunded.

Methods

Using data available from the Creditor Reporting System (CRS), National Health Accounts (NHA), and government financial reports, we examined trends in how donors channel DAH and the extent to which DAH is aligned with sector priorities. The study follows the flow of DAH from the donor to the implementing organization, specifying the modality used for disbursing funds and categorizing funds based on program area or support function.

Findings

Despite efforts to improve alignment through the formation of a sector-wide approach (SWAp) for health in 1999 and the creation of a fund to pool resources for identified priorities, increasingly DAH is provided as short-term, project-based support for disease-specific initiatives, in particular HIV/AIDS.

Conclusion

These findings highlight the need to better align external resources with country priorities and refocus attention on longer-term sector-wide objectives.
Appendix
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Metadata
Title
Aid alignment: a longer term lens on trends in development assistance for health in Uganda
Authors
Elizabeth Stierman
Freddie Ssengooba
Sara Bennett
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2013
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/1744-8603-9-7

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