Health Policy and Planning Advance Access published online on July 1, 2009
Health Policy and Planning, doi:10.1093/heapol/czp026
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Global health funding: how much, where it comes from and where it goes
1University College London, Centre for International Health and Development, London, United Kingdom.
2University of Oxford, Department of Politics and International Relations, All Souls College, Oxford, United Kingdom.
*Corresponding author. University College London, Centre for International Health and Development, 30 Guilford Street, London, WC1N 1EH, UK. E-mail: d.mccoy{at}ucl.ac.uk
Global health funding has increased in recent years. This has been accompanied by a proliferation in the number of global health actors and initiatives. This paper describes the state of global heath finance, taking into account government and private sources of finance, and raises and discusses a number of policy issues related to global health governance. A schematic describing the different actors and three global health finance functions is used to organize the data presented, most of which are secondary data from the published literature and annual reports of relevant actors. In two cases, we also refer to currently unpublished primary data that have been collected by authors of this paper. Among the findings are that the volume of official development assistance for health is frequently inflated; and that data on private sources of global health finance are inadequate but indicate a large and important role of private actors. The fragmented, complicated, messy and inadequately tracked state of global health finance requires immediate attention. In particular it is necessary to track and monitor global health finance that is channelled by and through private sources, and to critically examine who benefits from the rise in global health spending.
Key Words: Health financing, donor coordination, global health
Accepted for publication 20 April 2009.