Health Policy

A Review of Health Sector Aid Financing to Somalia by Emanuele Capobianco

By Emanuele Capobianco

This learn experiences relief flows to the health and wellbeing zone in Somalia over the interval 2000-2006. In shut collaboration with the health and wellbeing area Committee of the Coordination of overseas aid to Somalis the authors amassed quantitative and qualitative info from twenty-six foreign organisations working in Somalia, together with bilateral and multilateral donors. The paper reaches 3 major conclusions. First, reduction financing to the wellbeing and fitness area in Somalia has been continually starting to be, achieving US$ 7-10 in keeping with capita in 2006. even though this can be a huge quantity in comparison to different fragile states, it could possibly nonetheless be inadequate to deal with the inhabitants s wishes and to fulfill the excessive operational expenditures to paintings in Somalia. Secondly, contributions to the well-being area may perhaps and may be extra strategic. the focal point on a few vertical courses (e.g. HIV/AIDS and malaria) turns out to have diverted realization clear of different vital courses (e.g. immunization and reproductive overall healthiness) and from uncomplicated well-being procedure wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on healthiness financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber details on healthiness area financing is scanty, hence affecting the coverage making method negatively.

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QUESTION 2: Which Health Interventions were Prioritized by Policy Planners Through Financial Aid Allocations? Aid financing to the health sector, especially from 2004 onwards, favored vertical programs: Polio, TB, HIV, and Malaria accounted for 50 percent of total aid in 2006. ■ The polio program is the number one priority in the Somalia health sector. 1 million/year. The above figures show the political commitment of the donor community but also raise questions about the opportunity costs of the eradication campaign.

The program, sponsored by several international donors, is jointly implemented by WHO and UNICEF. It achieved a substantial reduction Table 9. Confirmed Wild Poliovirus Cases in Somalia (2000–06) 2000 2001 2002 2003 2004 2005 2006 46 7 3 0 0 185 36 Source: Global Polio Eradication Initiative. 28 World Bank Working Paper Figure 17. Health Expenditure: Poliomyelitis (2000–06) 14 200 180 US$ Millions 12 160 10 140 8 120 100 6 80 4 60 40 2 20 0 0 2000 2001 2002 Polio funding 2003 2004 2005 2006 Confirmed cases Source: Authors’ calculations.

Practical initiatives such as joint donor offices, agreed division of labor amongst donors, delegated cooperation arrangements,5 multi-donor trust funds and common reporting and financial requirements should be implemented (OECD 2007b). Effective implementation of harmonization depends on vigorous donor leadership in-country. Donors should create toplevel advocates as champions of harmonization in their organizations with decentralized decisionmaking to in-country staff (Anti-Corruption Resource Centre 2004) to engage constructively with partners and other donors (High Level Forum 2005a).

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