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

By Emanuele Capobianco

This learn experiences relief flows to the healthiness quarter in Somalia over the interval 2000-2006. In shut collaboration with the overall healthiness area Committee of the Coordination of overseas aid to Somalis the authors accumulated quantitative and qualitative information 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 wellbeing and fitness region in Somalia has been always becoming, attaining US$ 7-10 according to capita in 2006. even though this can be a significant volume in comparison to different fragile states, it could nonetheless be inadequate to deal with the inhabitants s wishes and to satisfy the excessive operational expenditures to paintings in Somalia. Secondly, contributions to the health and wellbeing zone may well 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 consciousness clear of different very important courses (e.g. immunization and reproductive overall healthiness) and from easy future health approach wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on future health financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber info on healthiness area financing is scanty, therefore affecting the coverage making strategy negatively.

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The average difference for all years was 16 percent. This difference is explained by four factors (see Figure 9). First, there is a time lag between disbursement of funds by donor agencies and the implementation by recipient/ implementing agencies. This means that funds disbursed in one fiscal year by donors are Table 5. Percentage Difference Between Data Collected from Donors and Recipient/Implementing Agencies Donor Disbursements Expenditure by recipient/ implementing agencies % Difference 2000 2001 2002 2003 2004 2005 2006 100% 86% 100% 91% 100% 76% 100% 94% 100% 74% 100% 86% 100% 84% 14 9 24 6 26 14 16 18 World Bank Working Paper Figure 9.

In cases of concerns about legitimizing a particular government, or a prolonged humanitarian presence, it is important for donors to focus harmonization efforts on the creation of mechanisms that enhance the emergence of country leadership and ownership. Donors may also choose to partially align themselves to programs that have sufficient capacity and commitment whether in agencies or regional governments. This is called shadow alignment (High Level Forum 2005). 5. This is an arrangement in which one or several donors with limited capacity or no country presence transfer management of funds and fiduciary responsibilities to other donors to act on their behalf (Michalski 2007).

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. Finally, it highlights gaps in knowledge that may be filled by future studies. CHAPTER 4 Key Findings Financial Aid Flows In Somalia aid to the health sector flows through an intricate network, characterized by three groups of financiers and many intermediaries (see Figure 10).

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Categories: Health Policy