Contents -- Foreword -- Acknowledgments -- Acronyms and Abbreviations -- Executive Summary -- CHAPTER 1 Background, Aim, and Objectives -- CHAPTER 2 Conceptual Framework -- Trends in Overall Aid to Developing Countries -- Trends in Aid to the Health Sector -- Trends in Aid to Fragile States -- Trends in Aid to Somalia -- Donor Harmonization: Principles and Challenges -- CHAPTER 3 Methodology -- Approaches -- Quantitative and Qualitative Data Collection Process -- Types of Quantitative Data Collected -- Methodological Limitations and Challenges -- Usefulness of the Data -- CHAPTER 4 Key Findings -- Financial Aid Flows -- Total Health Sector Aid Financing -- Health Sector Aid by Disease/Program -- Health Sector Aid by Zone -- Health Sector Aid by Activity -- CHAPTER 5 Qualitative Findings -- Aid Financing -- Donor Harmonization -- CHAPTER 6 Conclusions and Recommendations -- Conclusions -- Recommendations -- ANNEX: Study Sample -- LIST OF TABLES -- Table 1. Millennium Development Goals Relevant to the Health Sector and Somalia -- Table 2. External Aid Allocated to Health Care in Fragile States -- Table 3. Top Ten Donors of Gross ODA to Somalia, 2000-05 Average -- Table 4. 2006 DAC Classification of Fragile States -- Table 5. Percentage Difference Between Data Collected from Donors and Recipient/Implementing Agencies -- Table 6. Total Health Sector Aid Financing Using Current and Constant Rate of Exchange (2000-06) -- Table 7. Per Capita Health Sector Aid Financing (US) -- Table 8. Health Sector Aid by Disease/Program (2000-06) (US million) -- Table 9. Confirmed Wild Poliovirus Cases in Somalia (2000-06) -- Table 10. Nutrition Indicators for Children Under 5 Years of Age -- Table 11. Expenditure by Activity (2006) -- LIST OF FIGURES -- Figure 1. Four Fragile State Contexts and Somalia's Asymmetric Situation.

Figure 2. Trends in ODA Per Capita to Somalia (1999-2003) -- Figure 3. Actual and Projected Official Development Assistance (1990-2010) -- Figure 4. Long-term Capital Flows to Sub-Saharan Africa and Other Developing Countries (2003) -- Figure 5. Development Assistance for Health by Source (1997-2003) -- Figure 6. Private and Public Health Expenditure in Sub-Saharan Africa (2002) -- Figure 7. Percentage of Humanitarian Assistance in Total Aid Budget (2002) -- Figure 8. Bilateral ODA to Somalia by Sector (2000-05) -- Figure 9. Explanations for the Difference Between Donor Disbursement and Recipient/Implementing Agencies Expenditure -- Figure 10. Financial Aid Flows in the Somalia Health Sector -- Figure 11. Total Health Sector Aid Financing (2000-06) -- Figure 12. Total Health Sector Aid Financing by Donor Category (2000-06) -- Figure 13. Percentage Contribution of Health Sector Aid Financing by Donor Category (2000-06) -- Figure 14. Percentage Contribution of Health Sector Aid Financing (2000 and 2006) -- Figure 15. Percentage Contribution by Programs (2000-06) -- Figure 16. Health Expenditure: TB, Malaria, and HIV (2000-06) -- Figure 17. Health Expenditure: Poliomyelitis (2000-06) -- Figure 18. Health Expenditure: Tuberculosis Financing versus TB Case Detection and TB Success Rate (2000-06) -- Figure 19. Health Expenditure: EPI Financing versus BCG and Measles Coverage (2000-06) -- Figure 20. Health Expenditure: Reproductive Health (2000-06) -- Figure 21. Health Expenditure: Nutrition Financing versus Malnutrition Indicators (2000-06) -- Figure 22. Health Expenditure: Noncommunicable Diseases (2000-06) -- Figure 23. Health Expenditure: Health Systems Support (2000-06) -- Figure 24. Health Expenditure: Primary Health Care (2000-06) -- Figure 25. Health Expenditure: Emergency (2000-06) -- Figure 26. Distribution of Health Expenditure by Zone (2000-06).

Figure 27. Distribution of Population and Health Expenditure by Zone (2000-06).

This study reviews aid flows to the health sector in Somalia over the period 2000-2006. In close collaboration with the Health Sector Committee of the Coordination of International Support to Somalis the authors collected quantitative and qualitative data from twenty-six international agencies operating in Somalia, including bilateral and multilateral donors.The paper reaches three main conclusions. First, aid financing to the health sector in Somalia has been constantly growing, reaching US 7-10 per capita in 2006. Although this is a considerable amount compared to other fragile states, it may still be insufficient to address the population's needs and to meet the high operational costs to work in Somalia. Secondly, contributions to the health sector could and should be more strategic. The focus on some vertical programs (e.g. HIV/AIDS and malaria) seems to have diverted attention away from other important programs (e.g. immunization and reproductive health) and from basic health system needs (infrastructure, human resources, etc.). The third conclusion is that more analytical work on health financing is needed to drive policy decisions in Somalia. Similarly to other fragile states, quality information on health sector financing is scanty, thus affecting the policy making process negatively.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.