Title:
Development Assistance for Health (Dah) in Post Conflict Regions: Impact on Local Health Priorities and Equity in South Sudan
Authors:
Pitia, Sanya Donald
Year:
2013
PAGE:
xiv, 47
Language:
En
Subject:
Health and Poverty
Keywords:
South Sudan Government, Development Assistance, Foreign Aid, Health Financing, Health system, Health equity, Health equality, Post-Conflict, Paris declaration, World health organization, Fragile states.
Abstract:
Introduction: Since the CPA, The Republic of South Sudan (RSS) has witnessed a flow of DAH from donors. However, approximately 8 years in, the health sector still suffers, because of the fragmentation of donor support; with different interests in funding of specific activities and projects. There are cross-country inequities intensified by the disproportionate allocation of aid funds in the different regions. Despite significant growth in DAH in recent years, fundamental challenges still remain in the newly independent country’s ability to raise the required finances and ensuring that the funds are spent effectively in accordance to her planned development strategies and objectives. Methods: Literature review. Data available from the year 2005 to 2012 was used for the analysis of flow of funds in health (DAH) to South Sudan. Findings: Trend of DAH flow to the Republic of South Sudan has been unpredictable. There is multiplicity and proliferation of many development partners with different interests, working in geographical areas of their choice and implementing their own health interventions. The weak institutional capacity in RSS has hindered alignment and harmonization of DAH with local priorities. The fragmentation of aid has further contributed to poor resource allocation and widened geographical disparities (Inequity). RSS is largely dependent on oil revenues to fund her entire budget. Very little is achieved from other forms of domestic resources like taxation, because of challenges of capacity and poor legal frameworks. RSS government budget expenditure on health is far away below 4.9%, as compared to the 15% target set by the African Union heads of state in 2001 in Abuja. Conclusion: Alignment of DAH to RSS priorities and achieving equity through equitable resource allocation has been very challenging for the country, due to weak institutional capacity. Recommendation: Donors need to align and harmonize aid with RSS priorities. RSS government needs to establish sound micro-economic policies for domestic revenue mobilization; and find alternative community financing arrangement for health (Community Health Insurance) to empower the community and reduce their catastrophic expenditures. RSS can further look for the best policies to integrate civil society and private sector in the aid coordination process.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy and Practice
Country:
South Sudan, Republic of
Region:
East-Central Africa
Training:
Master of Public Health / International Course in Health Development
Category:
Research
Right:
© 2013 Pitia
Document type:
Thesis/dissertation
File:
cOiPLGPtgO_20161103141708874.pdf