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Health Aid: What does it do and how can countries make it more effective

English title Health Aid: What does it do and how can countries make it more effective
Applicant Bergman Manfred Max
Number 162649
Funding scheme Project funding (Div. I-III)
Research institution Institut für Soziologie Universität Basel
Institution of higher education University of Basel - BS
Main discipline Sociology
Start/End 01.11.2015 - 31.03.2019
Approved amount 296'488.00
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All Disciplines (4)

Discipline
Sociology
Health
Public Health and Health Services
Economics

Keywords (3)

health systems; development; aid effectiveness

Lay Summary (German)

Lead
Mit einer Verdreifachung des finanziellen Gesamtbetrags der Entwicklungszusammenarbeit für Gesundheit zwischen 2000 und 2010 beträgt dieser in den letzten Jahren USD 28.2 Milliarden. Die Zunahme der finanziellen Mittel in der Entwicklungszusammenarbeit wird von dem steigenden Interesse begleitet, sicher zu stellen, dass die Mittel effektiv eingesetzt werden.
Lay summary

Forschungsinhalt und -ziele

Innerhalb der Sozialwissenschaften läuft eine aktive Debatte über die Wirksamkeit von Entwicklungszusammenarbeit. Während zunehmend Konsens bezüglich des kleinen aber positiven Effekts von Entwicklungszusammenarbeit auf Wachstum herrscht, stellen des Weiteren Studien fest, wie verschiedene Charakteristika der Entwicklungszusammenarbeit unbeabsichtigte Effekte auf die Gesundheitspolitik haben.

Das mixed methods Projekt trägt zu dieser Debatte bei. Die zwei Leitfragen des Projekts lauten: Wie beeinflusst Gesundheitsförderung die Gesundheit in Nehmerländern und was ermöglicht einigen Nehmerländer finanzielle Mittel aus der Entwicklungszusammenarbeit effektiver als andere zu nutzen?

Die erste Phase beinhaltet eine ländervergleichende Analyse, um den Effekt von Gesundheitsförderung und verschiedenen Charakteristika der Entwicklungszusammenarbeit auf die Gesundheit zu untersuchen. Die zweite Phase bezieht sich auf die Resultate der ersten Phase, um vier Länder als Fallstudien zu untersuchen.

Wissenschaftlicher und gesellschaftlicher Kontext des Forschungsprojekts

Mit seinem mixed methods Ansatz stützt sich dieses Projekt auf eine grosse statistische Datenbank sowie eine Dokumentanalyse, um einen Beitrag zur anhaltenden Debatte zur Wirksamkeit der Entwicklungszusammenarbeit zu leisten. 

Direct link to Lay Summary Last update: 09.10.2015

Responsible applicant and co-applicants

Employees

Collaboration

Group / person Country
Types of collaboration
Swiss TPH, Swiss Centre for International Health, Health Systems Support Unit Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Département de Sociologie, Université de Genève Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Kolloquium: Qualitative und quantitative Studien zu sozialen Strukturen und Transitionen Individual talk The Health Aid Project: An example of case selection using nested analysis techniques 19.04.2017 Basel, Switzerland, Switzerland Bergman Manfred Max; Jafflin Kristen;


Abstract

Total levels of development assistance have increased substantially in recent years, from $92.2 billion in 2001 to a high of $148.4 billion in 2010. Health aid has increased even more substantially, reaching $28.2 billion in 2010, up from a mere $5.74 billion in 1990 and $10.7 billion in 2000 (IHME, 2012). Global interest in aid effectiveness has increased along with levels of aid, as reflected in a series of High Level Fora on Aid Effectiveness that have been organized since 2003 (OECD, 2008, 2012). Within the social sciences, there is an active debate about aid effectiveness (Collier, 2007; Easterly, 2006; Sachs, 2005), and empirical studies find that aid has a small but positive effect on growth (Clemens, Radelet, Bhavnani, & Bazzi, 2011), education (Dreher, Nunnenkamp, & Thiele, 2008) and health (Mishra & Newhouse, 2009). However, studies also highlight unintended, negative effects on governance (Bräutigam & Knack, 2004; Lu et al., 2010), and qualitative assessments of specific aid instruments highlight the complexities involved in increasing aid effectiveness and avoiding negative unintended consequences (Biesma et al., 2009; Vallaincourt, 2009).In this project, we address two questions:1.How does health aid affect health systems in aid-receiving countries? 2.What enables some aid-dependent health systems to use aid more effectively and sustainably than others?We conduct a two-phase mixed method investigation of the effect of health aid on health systems in aid-receiving countries, simultaneously testing broad effects of health aid on various dimensions of health systems and investigating the complex processes through which aid effects health systems with three case studies. This project employs nested case analysis (Lieberman, 2005), which is especially well-suited to the study of local manifestations of global phenomena (Jafflin, 2011b). In the first phase, we construct a cross-country time-series dataset to examine the effect of health aid on health systems. We test the effect aid, health aid, government versus non-government directed health aid and health aid volatility have on multiple dimensions of health system, including health outcomes, access to health services and government commitment to health, using fixed and random effects models and OLS with HC3 robust/cluster corrections. In the second phase, we use residual analysis to identify 3 countries for case studies. For the case studies, we conduct a desk review of the published and gray literature, carry out interviews with key actors in the health system, including government officials, representatives of donor groups and representatives of local health NGOs or private health services, and analyze government documents. Our study will make an important contribution to the debate about aid effectiveness by investigating health aid’s impact on multiple dimensions of health systems and including complex models of aid effects. In addition, the carefully selected case studies will provide key insights into the complex processes by which aid affects health systems and what factors improve or impede aid effectiveness. Findings will add to the debate on the relationship between aid and development, and further our understanding of how recent innovations in health aid, like global health initiatives and SWAps, have influenced health systems in developing countries.
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