Donor Trends In International Health American Public Health Association Washington, D.C. November 6-10, 2004 Duff Gillespie

Official Development Assistance Unadjusted in US $ Billions

Percent of ODA Devoted to Health, 2002 DACUS Health of which basic health Population Source: PECD-DAC

Percent of donor’s Assistance Allocated to Multilateral Institutions and Programs Source: OECD/DAC Database, cited in Birdsall, Nomg, “ New Issues in Development Assistance, World Banh,

Top Ten Recipients of Gross ODA/OA (USD million) 1.Egypt919 2.Russia (OA)813 3.Israel (OA)529 4.Pakistan494 5.Serbia & Montenegro353 6.Columbia330 7.Ukraine (OA)257 8.Jordan225 9.Peru Afghanistan188 Source: OECD

Percent of Bilateral Recipients Receiving Less Than 1 Percent of Total Aid – Average Australia82% Canada73% Denmark82% Finland76% France87% Germany76% Ireland84% Italy90% Japan90% Netherlands76% Norway76% Portugal88% Sweden75% Switzerland70% United Kingdom83% United States87% Source: Acharya, De Lima & Moore (2003) “ The Proliferators” Institute of Development Studies cited in Birdsall, Nomg, “ New Issues in Development Assistance, World Banh, October 4, 2004

Funding and Strategic Planning Mechanisms Are Many Bilateral Multilateral Loans International Partnership Swaps PRSP Direct Budget Support Millennium Development Goals United States HHS CDC NIH State USAID-HIV/AIDS Millennium Challenge Conformation USAID Mission Washington

CONCLUDING ISSUES ODA Increase have not kept pass with needs and International Goals Competition for ODA is Increasing -Geo-Political -Development Numerous Development Mechanisms (Industry) Transaction Cost Significant for Donors and Recipients No Critical Mass of Resources for Scaling–up