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

By Emanuele Capobianco

This learn studies relief flows to the well-being area in Somalia over the interval 2000-2006. In shut collaboration with the future health area Committee of the Coordination of foreign help to Somalis the authors accumulated quantitative and qualitative information from twenty-six foreign organisations working in Somalia, together with bilateral and multilateral donors. The paper reaches 3 major conclusions. First, relief financing to the wellbeing and fitness area in Somalia has been regularly growing to be, attaining US$ 7-10 in step with capita in 2006. even if it is a massive quantity in comparison to different fragile states, it might probably nonetheless be inadequate to handle the inhabitants s wishes and to satisfy the excessive operational expenditures to paintings in Somalia. Secondly, contributions to the future health zone may possibly and will 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 health and wellbeing) and from uncomplicated well-being process 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 details on future health zone financing is scanty, therefore affecting the coverage making method negatively.

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Funds for HIV and malaria are managed by UNICEF, while funds for TB are managed by World Vision. Implementers include NGOs, UN agencies and civil society. The peak in overall health financing to vertical programs observed in 2005 and 2006 can also be explained by a sharp increase in funding for the Polio program. The Polio program has by far been the largest funded program in Somalia health sector over the period 2000–06. In seven years it received a total of US$43 million, equal to 20 percent of the total aid to the health sector in Somalia.

Donors also mentioned the lack of capacity in Somalia to manage programs and to provide the necessary management and financial reporting information. Some donors also expressed concerns about the hiring and firing practices that are challenging for NGOs operating in Somalia. Donors stated that the frequency of reporting and length of contracts especially short contracts creates an administrative burden on both recipients and donors. While some donors require reports (financial and narrative) on an annual basis, others require reports on a quarterly or biannual basis.

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.

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