Global health funding: how much, where it comes from and where it goes
David McCoy1,*, Sudeep Chand1 and Devi Sridhar2
2University of Oxford, Department of Politics and International Relations, All Souls College, Oxford, United Kingdom.
Published by
Abstract at: http://heapol.oxfordjournals.org/cgi/content/full/czp026
“…..Global health funding has increased in recent years. This has been accompanied by a proliferation in the number of global health actors and initiatives. This paper describes the state of global heath finance, taking into account government and private sources of finance, and raises and discusses a number of policy issues related to global health governance.
A schematic describing the different actors and three global health finance functions is used to organize the data presented, most of which are secondary data from the published literature and annual reports of relevant actors. In two cases, we also refer to currently unpublished primary data that have been collected by authors of this paper. Among the findings are that the volume of official development assistance for health is frequently inflated; and that data on private sources of global health finance are inadequate but indicate a large and important role of private actors.
The fragmented, complicated, messy and inadequately tracked state of global health finance requires immediate attention. In particular it is necessary to track and monitor global health finance that is channelled by and through private sources, and to critically examine who benefits from the rise in global health spending…..”
KEY MESSAGES
It is frequently stated that global health funding has increased dramatically over the past decade. However, there are inadequate data to describe the precise volume of global health expenditure; the source of this funding; its management; and how it is spent.
A detailed description of global health funding is needed to improve the efficiency, accountability, performance and equity-impact of the many actors that populate the global health landscape.
In particular, it is necessary to track and monitor the activities of non-OECD donors as well as the funding that is sourced by and channelled through private actors.
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