Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 38 - 46 |
| Number of pages | 9 |
| Journal | Social Science and Medicine |
| Volume | 105 |
| DOIs | |
| Publication status | Published - 2014 |
Cite this
}
Do Sector Wide Approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries. / Sweeney, Rohan; Mortimer, Duncan Stuart; Johnston, David.
In: Social Science and Medicine, Vol. 105, 2014, p. 38 - 46.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Do Sector Wide Approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries
AU - Sweeney, Rohan
AU - Mortimer, Duncan Stuart
AU - Johnston, David
PY - 2014
Y1 - 2014
N2 - 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 1990e2009 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.
AB - 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 1990e2009 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.
U2 - 10.1016/j.socscimed.2013.12.026
DO - 10.1016/j.socscimed.2013.12.026
M3 - Article
VL - 105
SP - 38
EP - 46
JO - Social Science and Medicine
JF - Social Science and Medicine
SN - 0277-9536
ER -