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Do we have the architecture for health aid right? Increasing global aid effectiveness

Abstract

The advent of the new millennium has witnessed the embracing of a different perspective on global health aid. New and innovative mechanisms in health-aid financing are leading to new opportunities, focused on greater innovation, risk taking and speed. However, these opportunities might not fully materialize if the traditional approaches of channeling and using funds are followed. To maximize global aid effectiveness and to have a realistic chance of achieving the Millennium Development Goals, the implementation of a holistic approach to the global architecture of health aid will be essential.

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Figure 1: Mean total expenditure on health by countries in sub-Saharan Africa.
Figure 2: Total development assistance for health provided to selected countries of sub-Saharan Africa.

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Acknowledgements

The author would like to acknowledge fruitful discussions with R. Klausner (Bill & Melinda Gates Foundation) and R. Manning (OECD/DAC). Andy Crump and Renia Coghlan helped in the preparation of the manuscript.

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Correspondence to Tore Godal.

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The author declares no competing financial interests.

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FURTHER INFORMATION

Bretton Woods institutions

Development Assistance Committee

Global Alliance for Vaccines and Immunization

Global Fund to Fight AIDS, TB and Malaria

The Global HIV/AIDS Vaccine Enterprise

Macroeconomic and Health Commission

Millennium Development Goals

Organization for Economic Cooperation and Development

President's Emergency Plan for AIDS Relief

UNICEF

The Vaccine Fund

World Health Organization

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Godal, T. Do we have the architecture for health aid right? Increasing global aid effectiveness. Nat Rev Microbiol 3, 899–903 (2005). https://doi.org/10.1038/nrmicro1269

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