Projects per year
Abstract
More than 90 % of health aid remains tied to projects that reflect donor rather than recipient priorities. This has a material impact on aid effectiveness and is inconsistent with the stated aims of development partners to ‘decolonise aid’ and prioritise ‘locally led development’. Relatively little attention has been given to constraints that might account for this divergence between donor rhetoric and action. The present study considers whether the preferences of donor country citizens (donors) are consistent with recipient control of aid programs. Using Indonesia as the recipient country setting, we conducted a discrete choice experiment amongst 1523 Australians aged 18+ to describe donor preferences for recipient control and nine other characteristics of Australia's health aid program. We found that donors have a strong aversion to recipient control and are unwilling to cede control of either aims or implementation. Despite evidence of pervasive preference heterogeneity, we were unable to identify a class or preference ‘type’ with a preference for recipient control. Importantly, donor resistance to decolonisation was pervasive under experimental control for the institutional quality of recipient governments, suggesting that preferences for donor control are unlikely to reflect an attempt to compensate for political instability and government ineffectiveness in recipient countries. The implications of these findings are significant. This fundamental misalignment challenges international commitments to locally led development. For governments aiming to reflect their constituencies’ preferences, emphasizing donor control over aid objectives may garner greater public support, but risks undermining international commitments to increase recipient ownership and decolonise aid.
| Original language | English |
|---|---|
| Article number | 118535 |
| Number of pages | 11 |
| Journal | Social Science & Medicine |
| Volume | 384 |
| DOIs | |
| Publication status | Published - Nov 2025 |
Projects
- 1 Active
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Maximising impacts of aid for health by incorporating local priorities
Sweeney, R. (Primary Chief Investigator (PCI))
1/09/21 → 31/05/26
Project: Research