By Emanuele Capobianco
This examine stories relief flows to the well-being area in Somalia over the interval 2000-2006. In shut collaboration with the overall healthiness region Committee of the Coordination of overseas help to Somalis the authors accumulated quantitative and qualitative info from twenty-six overseas organizations working in Somalia, together with bilateral and multilateral donors. The paper reaches 3 major conclusions. First, reduction financing to the overall healthiness zone in Somalia has been continuously growing to be, achieving US$ 7-10 according to capita in 2006. even supposing this can be a significant volume in comparison to different fragile states, it could actually nonetheless be inadequate to handle the inhabitants s wishes and to satisfy the excessive operational charges to paintings in Somalia. Secondly, contributions to the wellbeing and fitness region may perhaps and may be extra strategic. the focal point on a few vertical courses (e.g. HIV/AIDS and malaria) turns out to have diverted consciousness clear of different vital courses (e.g. immunization and reproductive wellbeing and fitness) and from simple wellbeing and fitness procedure wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on overall healthiness financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber details on healthiness quarter financing is scanty, hence affecting the coverage making technique negatively.
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Additional resources for A Review of Health Sector Aid Financing to Somalia
As EPI relies heavily on the existing health network, the program’s performance may also benefit from increased financing to the overall health system and primary health care (see Figure 19). Reproductive health was also neglected for many years and only recently started receiving more attention by donors. Reproductive health indicators have remained abysmally low over the period 2000–06. 5 children/woman; institutional deliveries are as low as nine percent and antenatal care attendance is only 26 percent.
The TB program, one of the most successful programs in Somalia, achieved the WHO global targets for treatment success and case detection rates in 2004. 5 million/year for the period 2000 to 2004). In 2005 and 2006 a six fold increase in funding (US$3 million/year) was allocated mostly through GFATM contributions. ), such a sharp increase in financing may be questionable. ■ The HIV and malaria programs received approximately US$6 million each during 2006. However, it is difficult to draw conclusions on the adequacy of funding for the two programs.
Data were not obtained from DFID and Norway for 2006 and from ICRC for the period 2000 to 2003. 9 Overheads that are not part of direct disease program costs for donor and recipient/implementing agencies could not be obtained. For instance, costs related to UNCAS and ECHO flights for transport of personnel and supplies to Somalia were not captured. The cost of security or money transfer was also missed. ■ The inclusion of all HIV expenditure as health expenditure. Although not all HIV expenditure are strictly health sector-related, it was impossible to disaggregate between health and other multi-sectoral HIV interventions, as most donors categorize HIV expenditure under health.
A Review of Health Sector Aid Financing to Somalia by Emanuele Capobianco