[PPT] - Where is the G8 on Global Health? Trends in Donor Funding for PowerPoint Presentation

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Jen Kates, Kaiser Family Foundation July 7, 2010 Washington DC CSIS/KFF Briefing: “The G8 Muskoka and G20 Toronto Summits Health and Development Outcomes”

Full report: KFF, Donor Funding for Health in Low- and Middle- Income Countries, 2001-2008, Menlo Park: Kaiser Family Foundation (July 7, 2010), available at http://globalhealth.kff.org/ Authors: Jen Kates/Adam Wexler, KFF; Eric Lief/Vidal Seegobin, The Stimson Center

Where is the G8 on Global Health? Trends in Donor Funding for Health, 2001-2008

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Figure 1

Total ODA Commitments for Health and All Other ODA, 2001-2008

$7.6 $7.8 $11.3 $13.9 $17.5 $19.9 $23.4 $26.4 $47.5 $56.9 $78.5 $84.5 $105.1 $102.7 $103.5 $131.7 2001 2002 2003 2004 2005 2006 2007 2008 Other ODA Health ODA

Note: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS Source: Analysis of data obtained via

nline query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

US$ Billions $55.1 $64.7 $98.4 $122.5 $122.7 $126.9 $158.2 $89.7

Global Economic Crisis…

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Figure 2

Share of ODA Commitments by Major Sector, 2001, 2004, 2008

13.8% 14.1% 16.7% 19.9% 18.0% 18.2% 19.7% 17.3% 18.6% 7.8% 4.7% 6.6% 8.7% 13.4% 12.0% 7.4% 9.5% 7.3% 7.6% 8.3% 6.3% 9.7% 7.8% 7.5% 5.6% 6.9% 6.8% 2001 2004 2008

Emergency Assistance Production Debt Relief Education Government/Civil Society Commodity Aid Economic Infrastructure Multisector/Cross Cutting Health

$158.2 $55.1 US$ Billions $98.4

Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Multisector/Other ODA combines data from six OECD CRS sectors and sub-sectors: (1) Multisector/Cross-cutting; (2) Administrative Costs of Donors; (3) Support of NGO’s; (4) Refugees in Donor Countries; (5) Unallocated/Unspecified; and (6) Other Social Infrastructure & Services (excluding Social Mitigation of HIV/AIDS). Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

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Figure 3

The 2007-2008 ODA Increase: Drivers of Growth by Sector

31.3% 16.5% 16.0% 9.9% 8.0% 7.9% 6.4% 2.8% 1.4%

Economic Infrastructure Multisector/Other Commodity Aid Health Production Government/Civil Society Emergency Assistance Debt Relief Education

ODA Growth, 2007-2008: $31.3 billion

Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Multisector/Other ODA combines data from six OECD CRS sectors and sub-sectors: (1) Multisector/Cross-cutting; (2) Administrative Costs of Donors; (3) Support of NGO’s; (4) Refugees in Donor Countries; (5) Unallocated/Unspecified; and (6) Other Social Infrastructure & Services (excluding Social Mitigation of HIV/AIDS). Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

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Figure 4

United States $8.2 (31.1%) European DAC $7.4 (28.1%) EC $0.8 (3.1%) Multi-lateral $6.4 (24.2%) Other $3.6 (13.5%)

Health ODA Commitments by Donor, 2001 & 2008

United States $1.7 (22.2%) European DAC $2.1 (28.2%) EC $.5 (6.9%) Multilateral $2.3 (31.0%) Other $.9 (11.8%)

Total = $7.6 billion Total = $26.4 billion 2001 2008 US$ Billions

Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Source: Analysis of data obtained via

nline query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

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Figure 5

Sub- Saharan Africa 43.5% South/ Central Asia 13.3% Global 17.9% Far East Asia 8.7% North/ Central America 2.7% Middle East 6.1% Noth Africa 2.5% South America 2.2% Europe 2.2% Oceania 0.9%

Health ODA Commitments by Region, 2001 & 2008

Sub- Saharan Africa 37.2% South/ Central Asia 15.8% Global 11.1% Far East Asia 14.1% North/ Central America 3.5% Middle East 6.0% North Africa 5.5% South America 2.9% Europe 2.6% Oceania 1.2%

2001 2008 Total = $7.6 billion Total = $26.4 billion US$ Billions

Notes: Amounts in gross US$ commitments. Health ODA combines data from four OECD CRS sub-sectors: (1) Health; (2) Population Policies/Programs and Reproductive Health (includes HIV/AIDS & STDs); (3) Water Supply/Sanitation; and (4) Other Social Infrastructure and Services - Social Mitigation of HIV/AIDS. Global totals include ODA for unspecified recipients and regional programs. Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

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Figure 6

$0.06 $0.18 $0.21 $0.24 $0.95 $1.16 $4.90 $0.06 $0.09 $0.11 $0.17 $0.25 $0.30 $0.38 $0.47 $0.56 $0.59 $1.03 $1.26 $1.47 $1.57 $2.47 $7.94

Water Education and Training Waste Management & Disposal Water Resources Protection River Development Water Resources Policy & Admin. Management Basic Drinking Water Supply & Sanitation Water Supply/Sanitation - Large Systems Health Education Medical Education & Training Health Personnel Development* Medical Research Basic Nutrition Population Policy & Admin. Management Medical Services Tuberculosis Control Basic Health Infrastructure Family Planning Infectious Disease Control Malaria Control Health Policy & Admin. Management Reproductive Health Basic Health Care HIV/AIDS & STDs*

Health ODA Commitments by Major Sub-Sector Activity, 2008

Total Health ODA: $26.4 billion

US$ Billions

Notes: Amounts in gross US$ commitments. “HIV/AIDS & STDs” represents combined data from two OECD CRS purpose codes: (1) STD control including HIV/AIDS; and (2) Social mitigation of HIV/AIDS. “Health Personnel Development” represents combined data from two OECD CRS purpose codes: (1) Health personnel development; and (2) Personnel development: population and reproductive health. Source: Analysis of data obtained via online query of the OECD Development Assistance Committee (DAC) Database and Creditor Reporting System (CRS), June 22, 2010.

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Figure 7

Take Home Messages & Forward Look

ODA for health increased over the period analyzed, even after

adjusting for inflation and exchange rate fluctuations

However, some important caveats:
Analysis based on most “recent” data available on health ODA – significant lag
Reflects budgeting decisions made prior to onset of current global economic crisis
Already shows slowing growth rate in health ODA
What lies ahead? Is caution about future donor assistance for

health warranted?

On the one hand, donor attention to global health remains evident in post-

economic crisis era - new initiatives launched, such as U.S. government’s GHI, G8’s Muskoka MNCH initiative, growing attention to MDG Review Summit in September

On the other, preliminary estimates from OECD predict limited overall ODA growth

for 2009–2010, with mixed prospects among donors (ODA relatively flat in both nominal and real terms)

Important to monitor how health fares within this trend, including

assessing other markers where possible, including

G8 fullfillment of commitments
ODA trends from larger donors
Global Fund replenishment
UN MDG Summit