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by: Emanuele Capobianco, Veni Naidu
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This study reviews trends in aid provided to the health sector in
Somalia over 2000–2009. It is a testimony to the commitment of
donors and implementers who have relentlessly tried to improve the dire
health situation of millions of Somalis. At the same time, this study
is a wake-up call for all donors and implementers. Have donors been
generous enough? Have millions of dollars been invested in the most
efficient way to maximize results? Did donors choose the right
priorities? Did they stay the course? Did they learn from their own
mistakes?
The answers are mixed. Donors stepped up their contributions over
the decade: some new financiers came, some others left, but overall,
financial support has been constantly increasing. Emergencies took up
30 percent of the overall funding, thus demonstrating the impact on the
health sector of man-made and natural disasters. Only 20 percent was
allocated for horizontal programs, with increasing funds over the last
part of the decade. Vertical programs dominated aid financing for
health: in the case of AIDS, TB, and malaria, the generous funding of
the last years of the decade do not appear justifiable. Malnutrition,
EPI, and reproductive health programs never got the attention they
deserved.
The key conclusion of this study is that donors’ funding for
public health in Somalia over the past decade could have been used more
strategically. Better coordination among donors, local authorities, and
implementers is now needed to avoid the mistakes of the past and to
ensure that priority setting for future interventions is more evidence
based and more results oriented.
- Shipping Weight: 0.28 lbs (0.13 kgs)
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