Document Type : Original Research

Authors

1 Faculty of Economics and Management, University of Yaounde II, Yaounde, Cameroon

2 Department of Economics and management, University of Douala Douala, Cameroon

Abstract

This article assesses the effects of international aid on the health sector in developing countries. We use estimation techniques such as Ordinary Least Squares (OLS), instrumental variables with fixed effects, and the dynamic panel approach. Using the data from various sources over the period 1990 to 2017 covering 126 developing countries, the initial results show that health aid contributes effectively and significantly to improved health outcomes in the developing countries at 1 and 5% of the significance thresholds. These results give the picture that the mobilization of the international community in favour of the health sector in the context of the MDGs through health aid has been more effective in achieving certain health goals from the 2000s onwards than before the Millennium Declaration. This study shows that it is in the interest of development partners, particularly those in the health sector, to significantly improve the survival and health of the populations of developing countries through health aid. It is recommended that development assistance policies be designed to take into consideration the existing institutional framework and how these resource flows interfere with, and therefore change, the incentive structure of recipient countries. The transfer of resources in the form of health aid to meet current needs must be complemented by other additional actions, such as education campaigns and infrastructure improvements, in order to achieve long-term improvement.

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Bendavid, E., Holmes, C. B., Bhattacharya, J., & Miller, G. (2012). HIV Development Assistance and Adult Mortality in Africa. JAMA, 307(19). https://doi.org/10.1001/jama.2012.2001
Chauvet, L., & Guillaumont, P. (2008). Aid and Growth R Evisited : Policy, Economic Vulnerability and Political Instability. Working Papers, CERDI, 200327, 20.
Drabo, A., & Ebeke, C. H. (2011). Remittances, public health spending and foreign aid in the access to health care services in developing countries. Etudes et Documents du CERDI.
Feeny, S., & Ouattara, B. (2013). The effects of health aid on child health promotion in developing countries : Cross-country evidence. Applied Economics, 45(7), 911‑919. https://doi.org/10.1080/00036846.2011.613779
Gomanee, K., Girma, S., & Morrissey, O. (2005). Aid, public spending and human welfare : Evidence from quantile regressions. Journal of International Development, 17(3), 299‑309. https://doi.org/10.1002/jid.1163
Gyimah-Brempong, K. (2015). Do African Countries Get Health from Health Aid? 32.
IHME. (2020). Development assistance for health database 1990–2019. University of Washington.
Marten, R., Kadandale, S., Nordström, A., & Smith, R. D. (2018). Shifting global health governance towards the sustainable development goals. Bulletin of the World Health Organization, 96(12), 798-798A. https://doi.org/10.2471/BLT.18.209668
Mishra, P., & Newhouse, D. (2007). Health Aid and Infant Mortality. IMF Working Paper, 100, 42.
Mishra, P., & Newhouse, D. (2009). Does health aid matter? Journal of Health Economics, 28(4), 855‑872. https://doi.org/10.1016/j.jhealeco.2009.05.004
Mosley, P. (1986). Aid-effectiveness : The Micro-Macro Paradox. IDS Bulletin, 17(2), 22‑27. https://doi.org/10.1111/j.1759-5436.1986.mp17002004.x
Ndikumana, L., & Pickbourn, L. (2017). The Impact of Foreign Aid Allocation on Access to Social Services in sub-Saharan Africa : The Case of Water and Sanitation. World Development, 90, 104‑114. https://doi.org/10.1016/j.worlddev.2016.09.001
Piva, P., & Dodd, R. (2009). Where did all the aid go? An in-depth analysis of increased health aid flows over the past 10 years. Bulletin of the World Health Organization, 87(12), 930‑939. https://doi.org/10.2471/BLT.08.058677
Toseef, M. U., Jensen, G. A., & Tarraf, W. (2019). How Effective Is Foreign Aid at Improving Health Outcomes in Recipient Countries? Atlantic Economic Journal, 47(4), 429‑444. https://doi.org/10.1007/s11293-019-09645-2
WDI. (2019). Statistical Capacity Indicators provides information on various aspects of national statistical systems of developing countries. World Bank Group.
Williamson, C. R. (2008). Foreign aid and human development : The impact of foreign aid to the health sector. Southern Economic Journal, 188‑207.
Wilson, S. E. (2011). Chasing Success : Health Sector Aid and Mortality. World Development, 39(11), 2032‑2043. https://doi.org/10.1016/j.worlddev.2011.07.021
Yogo, U. T., & Mallaye, D. (2015). Health Aid and Health Improvement in Sub-Saharan Africa : Accounting for the Heterogeneity Between Stable States and Post-Conflict States: Health Aid and Health Indicators in SSA. Journal of International Development, 27(7), 1178‑1196. https://doi.org/10.1002/jid.3034
Yousuf, A. S. (2012). Impact of Health Aid on Infant M ortality Rate. MPRA Paper, University Library of Munich, Germany., 42945, 45.