Do Sector Wide Approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries

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Abstract

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.
Original languageEnglish
Pages (from-to)38 - 46
Number of pages9
JournalSocial Science and Medicine
Volume105
DOIs
Publication statusPublished - 2014

Cite this

@article{2538aed40ec541f68ad7569d6795c281,
title = "Do Sector Wide Approaches for health aid delivery lead to 'donor-flight'? A comparison of 46 low-income countries",
abstract = "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.",
author = "Rohan Sweeney and Mortimer, {Duncan Stuart} and David Johnston",
year = "2014",
doi = "10.1016/j.socscimed.2013.12.026",
language = "English",
volume = "105",
pages = "38 -- 46",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Pergamon",

}

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 -