Distributing Development Assistance for Health: Simulating the Implications of 11 Criteria

Ottersen, T., Moon, S., & Røttingen, J. A. (2017). Distributing Development Assistance for Health: Simulating the Implications of 11 Criteria. Health Economics, Policy and Law, 12(2), 245-263

19 Pages Posted: 17 Jun 2018

See all articles by Trygve Ottersen

Trygve Ottersen

University of Bergen - Department of Global Public Health and Primary Care

Suerie Moon

Graduate Institute of International and Development Studies (IHEID) - Global Health Centre

John-Arne Røttingen

Norwegian Knowledge Center for the Health Services

Date Written: 2017

Abstract

After years of unprecedented growth in development assistance for health (DAH), the DAH system is challenged on several fronts: by the economic downturn and stagnation of DAH, by the epidemiological transition and increase in non-communicable diseases and by the economic transition and rise of the middle-income countries. Central to any potent response is a fair and effective allocation of DAH across countries. A myriad of criteria has been proposed or is currently used, but there have been no comprehensive assessment of their distributional implications. We simulated the implications of 11 quantitative allocation criteria across countries and country categories. We found that the distributions varied profoundly. The group of low-income countries received most DAH from needs-based criteria linked to domestic capacity, while the group of upper-middle-income countries was most favoured by an income-inequality criterion. Compared to a baseline distribution guided by gross national income per capita, low-income countries received less DAH by almost all criteria. The findings can inform funders when examining and revising the criteria they use, and provide input to the broader debate about what criteria should be used.

Suggested Citation

Ottersen, Trygve and Moon, Suerie and Røttingen, John-Arne, Distributing Development Assistance for Health: Simulating the Implications of 11 Criteria (2017). Ottersen, T., Moon, S., & Røttingen, J. A. (2017). Distributing Development Assistance for Health: Simulating the Implications of 11 Criteria. Health Economics, Policy and Law, 12(2), 245-263 . Available at SSRN: https://ssrn.com/abstract=3188079

Trygve Ottersen (Contact Author)

University of Bergen - Department of Global Public Health and Primary Care ( email )

Kalfarveien 31
Bergen, 5018
Norway

Suerie Moon

Graduate Institute of International and Development Studies (IHEID) - Global Health Centre ( email )

PO Box 136
Geneva, CH-1211
Switzerland

John-Arne Røttingen

Norwegian Knowledge Center for the Health Services ( email )

Norway

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