Download A Review of Health Sector Aid Financing to Somalia by Emanuele Capobianco PDF

By Emanuele Capobianco

This research reports relief flows to the wellbeing and fitness region in Somalia over the interval 2000-2006. In shut collaboration with the wellbeing and fitness area Committee of the Coordination of foreign aid to Somalis the authors gathered quantitative and qualitative facts from twenty-six overseas organisations working in Somalia, together with bilateral and multilateral donors. The paper reaches 3 major conclusions. First, relief financing to the overall healthiness quarter in Somalia has been continually growing to be, achieving US$ 7-10 in step with capita in 2006. even though this can be a significant volume in comparison to different fragile states, it can nonetheless be inadequate to deal with the inhabitants s wishes and to satisfy the excessive operational charges to paintings in Somalia. Secondly, contributions to the wellbeing and fitness quarter may perhaps and may be extra strategic. the point of interest on a few vertical courses (e.g. HIV/AIDS and malaria) turns out to have diverted recognition clear of different very important courses (e.g. immunization and reproductive wellbeing and fitness) and from uncomplicated wellbeing and fitness method wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on wellbeing and fitness financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber details on future health region financing is scanty, hence affecting the coverage making procedure negatively.

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Effective implementation of harmonization depends on vigorous donor leadership in-country. Donors should create toplevel advocates as champions of harmonization in their organizations with decentralized decisionmaking to in-country staff (Anti-Corruption Resource Centre 2004) to engage constructively with partners and other donors (High Level Forum 2005a). Large numbers of actors (government and non-government) involved in donor and recipient countries render the tasks of planning and coordination less efficient.

Between 2000 and 2006 nutrition accounted for 11 percent of the total aid financing to Somalia. However, data on malnutrition seem to have worsened over the years (see Figure 21). ECHO, DFID, and USAID were the main donors, while UNICEF was the biggest implementer. Activities included selective feeding programs for malnourished children, administration of micronutrients, breastfeeding promotion, and regular/emergency nutritional Figure 20. 0 2000 2001 2002 2003 2004 Reproductive health Source: Authors’ calculations.

Sixty-one percent of aid for the health sector went to the South-Central zone (which accounts for 52 percent of the population), 19 percent went to Puntland (which accounts for 20 percent of the population), while 20 percent went to Somaliland (which accounts for 28 percent of the population). The level of coordination in the health sector is mixed. Through various working groups, the CISS has played an important role in coordinating donors and implementers on technical matters. It also succeeded in uniting partners, including Somali authorities, into a CCM that has been legitimized by the GFATM.

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