A Review of Health Sector Aid Financing to Somalia (World by Emanuele Capobianco, Veni Naidu PDF

By Emanuele Capobianco, Veni Naidu

This examine reports relief flows to the future health quarter in Somalia over the interval 2000-2006. In shut collaboration with the future health area Committee of the Coordination of foreign aid to Somalis the authors accrued quantitative and qualitative facts 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 zone in Somalia has been consistently transforming into, achieving US$ 7-10 in step with capita in 2006. even if it is a significant quantity in comparison to different fragile states, it will probably nonetheless be inadequate to deal with the inhabitants s wishes and to fulfill the excessive operational expenditures to paintings in Somalia. Secondly, contributions to the well-being region may possibly and will 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 vital courses (e.g. immunization and reproductive future health) and from uncomplicated healthiness process wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on well-being financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber details on overall healthiness region financing is scanty, therefore affecting the coverage making method negatively.

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Additional resources for A Review of Health Sector Aid Financing to Somalia (World Bank Working Papers) (World Bank Working Papers; Africa Human Development)

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Real or perceived discrimination in fragile states can lead to increased conflict and service delivery failures (OECD 2007b). There should be practical coordination mechanisms between international actors. In the absence of strong government leadership, donors should take on the responsibility for joint assessments, shared strategies and coordination of political engagement. Practical initiatives such as joint donor offices, agreed division of labor amongst donors, delegated cooperation arrangements,5 multi-donor trust funds and common reporting and financial requirements should be implemented (OECD 2007b).

The flow of funds from the donor headquarters 37 38 World Bank Working Paper to Nairobi as illustrated in Figure 10 is a lengthy process causing funding delays and sometimes interrupting service delivery. Donors identified two external challenges for their support to Somalia: uncertain political/institutional situation, and limited NGO capacity to deliver services. Donors felt that there is no functioning government that can be held accountable. Without a banking system and limited access due to security, the cost of providing aid increases and the opportunity to monitor activities and finances decreases.

20 World Bank Working Paper Usefulness of the Data Despite the limitations and methodological challenges experienced, the study offers some useful insights, as illustrated in the findings and in the concluding chapter. The study is the first exercise of this kind conducted in Somalia. It utilized a resource tool that can be adopted by partners for future data collection on aid tracking for Somalia. The study provides important baseline data, raises levels of awareness and generates questions about past and future aid financing to the health sector.

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