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From Health Affairs:


With A Global Financial Crisis, Less Growth In Health Funding


Bethesda, MD -- Between 2002 and 2008, financial and in-kind assistance from public and private channels to improve health in developing countries grew rapidly--for instance, 17 percent between 2007 and 2008. However, a new study from Health Affairs finds that the worldwide economic crisis has taken a toll on funding for health, reducing that growth to 4 percent annually from 2009 to 2011, reaching a total of $27.73 billion in assistance during the two-year period. The study was released today as a Web First by Health Affairs and will also appear in the journal's January 2012 issue.


The Global Financial Crisis Has Led To A Slowdown In Growth
Of Funding To Improve Health In Many Developing Countries

By Katherine Leach-Kemon, David P. Chou, Matthew T. Schneider,
Annette Tardif, Joseph L. Dieleman, Benjamin P.C. Brooks,
Michael Hanlon, and Christopher J.L. Murray

Leach-Kemon, Chou, Tardif, Dieleman, Brooks, Hanlon, and Murray are with
the Institute for Health Metrics and Evaluation (IHME) at the University
of Washington, in Seattle (Hanlon and Murray are also on the faculty at the
University of Washington's Department of Global Health); and Schneider is
with the Center for Global Development in Washington, D.C.

Research for this study was supported by the Bill & Melinda Gates Foundation


In this study, the authors estimated development assistance for health from 1990 to 2011. The data utilized include disbursements for the years 1990-2009 and preliminary estimates for 2010 and 2011.The authors found that the decline in the growth rate was not consistent. For example, health assistance from the World Bank's International Bank for Reconstruction and Development declined between 2004 and 2008, but its growth rate increased by 9 percent from 2008 to 2009, by 28 percent from 2009 to 2010, and by 128 percent between 2010 and 2011. The growth rate for the GAVI Alliance's assistance has also significantly increased. At the same time, development assistance for health from UN agencies decreased from 2010 to 2011, and health funding from bilateral agencies slowed to 4 percent (or $444.08 million) between 2010 and 2011, in large part due to slower growth of the US government's contributions. In this study the authors detail the reasons for these shifts and the changing trends in global health financing, which is also described in the Institute for Health Metrics and Evaluation's new report, Financial Global Health 2011: Continued Growth as MDG Deadline Approaches. "Given the international community's focus on meeting the Millennium Development Goals by 2015 and persistent economic hardship in donor countries, continued measurement of development assistance for health is essential for policy making," the authors conclude.

About Health Affairs

Health Affairs is the leading journal at the intersection of health, health care, and policy. Published by Project HOPE, the peer-reviewed journal appears each month in print, with additional Web First papers published periodically at The full text of each Health Affairs Web First paper is available free of charge to all website visitors for a one-week period following posting, after which it switches to pay-per-view for nonsubscribers. Web First papers are supported in part by a grant from The Commonwealth Fund. You can also find the journal on Facebook and Twitter. Read daily perspectives on Health Affairs Blog. Download our podcasts, including monthly Narrative Matters essays, on iTunes. Tap into Health Affairs content with the new iPad app.