Where is the G8 on Global Health? Trends in Donor Funding for - PowerPoint PPT Presentation

Where is the G8 on Global Health? Trends in Donor Funding for Health, 2001-2008 Jen Kates, Kaiser Family Foundation July 7, 2010 Washington DC CSIS/KFF Briefing: “The G8 Muskoka and G20 Toronto Summits Health and Development Outcomes” Full report: KFF, Donor Funding for Health in Low- and Middle- Income Countries, 2001-2008 , Menlo Park: Kaiser Family Foundation (July 7, 2010), available at http://globalhealth.kff.org/ Authors: Jen Kates/Adam Wexler, KFF; Eric Lief/Vidal Seegobin, The Stimson Center

Figure 1 Total ODA Commitments for Health and All Other ODA, 2001-2008 Global Economic US$ Billions Crisis… $158.2 Other ODA Health ODA $126.9 $122.5 $122.7 $98.4 $89.7 $131.7 $103.5 $64.7 $102.7 $105.1 $55.1 $84.5 $78.5 $56.9 $47.5 $26.4 $23.4 $19.9 $17.5 $13.9 $11.3 $7.6 $7.8 2001 2002 2003 2004 2005 2006 2007 2008 Note: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

Figure 2 Share of ODA Commitments by Major Sector, 2001, 2004, 2008 US$ Billions $55.1 $98.4 $158.2 5.6% 6.9% 6.8% 9.7% 7.5% 7.8% Emergency Assistance 6.3% 7.6% 8.3% Production 7.3% 7.4% Debt Relief 9.5% Education 12.0% 8.7% 13.4% Government/Civil Society 7.8% 6.6% Commodity Aid 4.7% Economic Infrastructure 18.6% 19.7% 17.3% Multisector/Cross Cutting Health 18.2% 19.9% 18.0% 16.7% 14.1% 13.8% 2001 2004 2008 Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Multisector/Other ODA combines data from six OECD CRS sectors and sub-sectors: (1) Multisector/Cross- cutting; (2) Administrative Costs of Donors; (3) Support of NGO’s; (4) Refugees in Donor Countries; (5) Unallocated/Unspecified; and (6) Other Social Infrastructure & Services (excluding Social Mitigation of HIV/AIDS). Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

Figure 3 The 2007-2008 ODA Increase: Drivers of Growth by Sector ODA Growth, 2007-2008: $31.3 billion Economic Infrastructure 16.5% 16.0% Multisector/Other Commodity Aid Health 9.9% Production Government/Civil Society 31.3% 8.0% Emergency Assistance Debt Relief Education 7.9% 6.4% 1.4% 2.8% Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Multisector/Other ODA combines data from six OECD CRS sectors and sub-sectors: (1) Multisector/Cross- cutting; (2) Administrative Costs of Donors; (3) Support of NGO’s; (4) Refugees in Donor Countries; (5) Unallocated/Unspecified; and (6) Other Social Infrastructure & Services (excluding Social Mitigation of HIV/AIDS). Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

Figure 4 Health ODA Commitments by Donor, 2001 & 2008 US$ Billions 2001 2008 United European United DAC States States $2.1 $8.2 European $1.7 (28.2%) (31.1%) DAC (22.2%) $7.4 (28.1%) Other Other $3.6 $.9 EC (13.5%) (11.8%) $.5 Multilateral Multi-lateral (6.9%) $2.3 $6.4 (31.0%) (24.2%) EC $0.8 (3.1%) Total = $7.6 billion Total = $26.4 billion Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

Figure 5 Health ODA Commitments by Region, 2001 & 2008 US$ Billions 2001 2008 Sub- Sub- Saharan Saharan Africa Oceania Africa South/ 43.5% 0.9% 37.2% Central Asia South/ 15.8% Oceania Central Asia 1.2% 13.3% Europe 2.2% Global Europe 11.1% Global South 2.6% 17.9% America South Far East 2.2% America Asia 2.9% 14.1% Noth Africa 2.5% North/ North Africa North/ Far East Middle East Central 5.5% Central Asia 6.0% Middle America America 8.7% East 2.7% 3.5% 6.1% Total = $7.6 billion Total = $26.4 billion Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Global totals include ODA for unspecified recipients and regional programs. Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

Figure 6 Health ODA Commitments by Major Sub-Sector Activity, 2008 US$ Billions HIV/AIDS & STDs* $7.94 Basic Health Care $2.47 Reproductive Health $1.57 Health Policy & Admin. Management $1.47 Malaria Control $1.26 Infectious Disease Control $1.03 Family Planning $0.59 Basic Health Infrastructure $0.56 Tuberculosis Control $0.47 Total Health ODA: $0.38 Medical Services $26.4 billion $0.30 Population Policy & Admin. Management $0.25 Basic Nutrition $0.17 Medical Research $0.11 Health Personnel Development* Medical Education & Training $0.09 Health Education $0.06 Water Supply/Sanitation - Large Systems $4.90 Basic Drinking Water Supply & Sanitation $1.16 Water Resources Policy & Admin. Management $0.95 River Development $0.24 Water Resources Protection $0.21 Waste Management & Disposal $0.18 Water Education and Training $0.06 Notes: Amounts in gross US$ commitments. “HIV/AIDS & STDs” represents combined data from two OECD CRS purpose codes: (1) STD control including HIV/AIDS; and (2) Social mitigation of HIV/AIDS. “Health Personnel Development” represents combined data from two OECD CRS purpose codes: (1) H ealth personnel development; and (2) Personnel development: population and reproductive health. Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

Figure 7 Take Home Messages & Forward Look • ODA for health increased over the period analyzed, even after adjusting for inflation and exchange rate fluctuations • However, some important caveats: • Analysis based on most “recent” data available on health ODA – significant lag • Reflects budgeting decisions made prior to onset of current global economic crisis • Already shows slowing growth rate in health ODA • What lies ahead? Is caution about future donor assistance for health warranted? • On the one hand, donor attention to global health remains evident in post- economic crisis era - new initiatives launched, such as U.S. government’s GHI, G8’s Muskoka MNCH initiative, growing attention to MDG Review Summit in September • On the other, preliminary estimates from OECD predict limited overall ODA growth for 2009 – 2010, with mixed prospects among donors (ODA relatively flat in both nominal and real terms) • Important to monitor how health fares within this trend, including assessing other markers where possible, including • G8 fullfillment of commitments • ODA trends from larger donors • Global Fund replenishment • UN MDG Summit