Financing Global Health 2011: Continued Growth as MDG Deadline Approaches
Financing Global Health 2011: Continued Growth as MDG Deadline Approaches offers a comprehensive view of trends in public and private financing of health assistance with preliminary estimates for health financing in the most recent years. It shows that development assistance for health (DAH) continues to rise, albeit at a slower rate than before the recession. This is the third annual publication on global health financing published by IHME.
The research also demonstrates continued strong growth in country expenditure on health, as well as the ongoing effects of DAH on spending for health by governments. The findings were published simultaneously in Health Affairs on December 14, 2011.
With the deadline for the Millennium Development Goals approaching in 2015, policymakers will need to carefully assess the trends in resource flows to decide where and how spending can have the maximum impact on population health.
To update our estimates from previous years, we generated preliminary estimates for 2010 and 2011 from models and preliminary financial statements obtained directly from channels of assistance. We improved our estimates of DAH flowing through US-based non-governmental organizations by collecting additional health expenditure data.
For our analysis of DAH for different health issues, we improved the accuracy of our estimates by incorporating more data about projects’ intended purposes from the World Bank.
Data and Methods
All Tables 1-20 (210KB xls)
Table 1. DAH by channel of assistance, 1990-2011 (19KB xls)
Table 2. DAH by source of funding, 1990-2009 (19KB xls)
Table 3. DAH by country of origin, 1990-2009 (22KB xls)
Table 4. DAH by target region, 1990-2009 (13KB xls)
Table 5. DAH by target country, 1990-2009 (86KB xls)
Table 6. DAH by health focus area, 1990-2009 (14KB xls)
Table 7. DAH by type of transfer, 1990-2009 (12KB xls)
Table 8. Bilateral commitments and disbursements, 1990-2009 (30KB xls)
Table 9. World Bank financial and in-kind DAH, 1990-2009 (12KB xls)
Table 10. Regional development banks financial and in-kind DAH, 1990-2009 (13KB xls)
Table 11. Financial and in-kind contributions by GFATM and GAVI, 2000-2009 (11KB xls)
Table 12. WHO, regular and extrabudgetary income and expenditure, 1990-2009 (16KB xls)
Table 13. UNFPA, regular and extrabudgetary income and expenditure, 1990-2009 (12KB xls)
Table 14. UNICEF, regular and extrabudgetary income and expenditure, 1990-2009 (15KB xls)
Table 15. UNAIDS, regular and extrabudgetary income and expenditure, 1996-2009 (12KB xls)
Table 16. PAHO, regular and extrabudgetary income and expenditure, 1990-2009 (15KB xls)
Table 17. US NGO expenditures, 1990-2011 (12KB xls)
Table 18. Bill & Melinda Gates Foundation global health commitments, disbursements, and in-kind contributions, 1999-2010 (16KB xls)
Table 19. Government health expenditure as source, 1995-2009 (14KB xls)
Table 20. DAH allocated to government or non-government recipients, 1995-2009 (20KB xls)
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Related Publications & Presentations
Leach-Kemon K, Chou DP, Schneider MT, Tardif A, Dieleman JL, Brooks BPC, Hanlon M, Murray CJL. The global financial crisis has led to a slowdown in growth of funding to improve health in many developing countries. Health Affairs. 2012; DOI: 10.1377/hlthaff.2011.1154.
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Report Overview (364KB pdf)
Chapter 1: Tracking development assistance for health (138KB pdf)
Chapter 2: Distribution of development assistance for health (10MB pdf)
Chapter 3: Spending on health by developing country government (97KB pdf)
Chapter 4: Impact of development assistanec for health on country government spending (77KB pdf)
Conclusion and references (103KB pdf)
Statistical Annex (383KB pdf)
Methods Annex (626KB pdf)
Full report high resolution (23MB pdf)
Full report medium resolution (13MB pdf)