By Emanuele Capobianco
This examine reports reduction flows to the health and wellbeing quarter in Somalia over the interval 2000-2006. In shut collaboration with the healthiness zone Committee of the Coordination of foreign help to Somalis the authors amassed quantitative and qualitative info from twenty-six foreign businesses working in Somalia, together with bilateral and multilateral donors. The paper reaches 3 major conclusions. First, reduction financing to the wellbeing and fitness region in Somalia has been consistently starting to be, attaining US$ 7-10 in step with capita in 2006. even though it is a huge quantity in comparison to different fragile states, it may possibly nonetheless be inadequate to handle the inhabitants s wishes and to satisfy the excessive operational bills to paintings in Somalia. Secondly, contributions to the well-being area may well and may be extra strategic. the focal point on a few vertical courses (e.g. HIV/AIDS and malaria) turns out to have diverted realization clear of different very important courses (e.g. immunization and reproductive overall healthiness) and from easy future health process wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on healthiness financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber info on well-being quarter financing is scanty, hence affecting the coverage making technique negatively.
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Extra resources for A Review of Health Sector Aid Financing to Somalia
Only one donor knew the proportion of its aid versus the total aid financing to the health sector in Somalia. Some interviewees at the country office did not even know their agency’s own aid contribution and had to retrieve the information from their headquarters. This gap in knowledge is partially due to staff turnover at the country office or to the centralized management of funds with limited information sharing at country level. Despite the internal and external challenges experienced, most donors (n = 10) reported that they would increase their funding in the future.
This amount is considerable and should be taken into consideration when reviewing the data presented in Table 6. S. S. S. 15 The large increase in financing to Somalia over the period 2000–06 can be explained by an increase in financing from all three categories of donors analyzed (bilateral, multilateral and others). However, the largest absolute and relative increases are seen among the multilaterals and “others” (see Figure 12). The emergence of the GFATM as main donor to the health sector in Somalia explains the surge observed in the “others” category from 2004 onwards.
Expenditure appears to have been proportionally slightly higher in South/Central Somalia, a not surprising finding, given the gravity of the humanitarian situation in that part of the country. Health Sector Aid by Activity The following analysis was carried out for the year 2006 in an attempt to disaggregate expenditure by activities. It proved a difficult exercise as agencies tend to categorize expenditure in different and sometimes generic ways. This made the analysis by category particularly challenging (see Chapter 3).