1. How much, where it comes from and where it was spent?
Donor
Funding F
R Health
HSIP TA
How much, where it comes from and where it was spent?

2. Outline
Background
Methods & Analysis
Results
Discussion
Conclusion

3. 2000 Millennium Declaration
Background
Millennium Declaration

4. Background…….continue
Global solidarity
High-income countries close funding gaps

5. Background……..continue
1995 – 2003
Health Sector SWAp
(Health Sector Improvement Program Trust Account)

6. What is not known? Question? How much? Where the funds come from?
Where the funds are spent?

7. Method and Analysis Descriptive study Year Funding source (GF)
Function (HIV)
Activity (procurement of ART drugs)
Appropriation (PGK)
Expenditure (PGK)

8. Results
PGK368.8 million
22% total health funding

9. 69% on three health MDG areas
Results…….continue
PGK254.5 million
69% on three health MDG areas
PGK114.3 million
31% on other areas

10. PGK228.7 million Results……continue PGK206.5 million 62% funds on MDG 6
56% total funds spent

11. Earmarked funding & lack of prioritization
Discussion
Impact of many reviews
Affected funding
Earmarked funding & lack of prioritization
Skewed funding
Capacity issues
Affected spending

12. Reduce value of aid effectiveness
Conclusion
Funding unstable
Dropped steeply after 2010
Earmarked funds
Affect funding for each MDG areas
Reduce value of aid effectiveness
Not all committed funds disbursed

13. Any Questions?

14. References
Foster, M., & Piel, J. (2010). Review of Health Sector Improvement Program Trust Account, Report 
Richards, S., Rupa, G., Shaw, L., & Glastonbury, I. (2012). Re-design of the Health Services Improvement Program (HSIP) trust account
UNDP (2014). National Human Development Report. Papua New Guinea. Port Moresby: United Nations Development Programme and Department of National Planning and Monitoring
UNAIDS (2013).  HIV in Asia and the Pacific. UNAIDS.
WHO (2010a). The World Health Report: Health System Financing-the path to universal coverage.
World Bank  (2017). Health Financing System Assessment – Papua New Guinea. Washington: World Bank.