Financing global health 2011 global health council 011912_ihme

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Institute for Health Metrics and Evaluation - University of Washington

This document summarizes the key findings from the report "Financing Global Health 2011". It discusses trends in development assistance for health (DAH) from 1990-2011, including total DAH amounts, top recipient countries, and funding by disease area. It also analyzes relationships between DAH and government health expenditure, and considers implications of recent slowing growth in DAH.

Health & Medicine

January 19, 2012 Christopher Murray, Director, IHME Michael Hanlon, Lecturer, IHME Financing Global Health 2011: Continued growth as MDG deadline approaches

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IHME tries to inform three questions Question IHME’s work What are people’s health problems? Track adult, child, maternal mortality; The Global Burden of Disease 2010 Study How well does a society address these health problems? Track inputs, outputs and outcomes from public health, medical care, and other key social determinants What can be done in the future to maximize health improvement? Estimate cost effectiveness of major interventions and health system intervention options

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Funding sources, channels of assistance, and implementing institutions

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DAH by topic area ,[object Object],[object Object],Project Type Search Terms HIV HIV, HIV/AIDS, AIDS, retroviral, etc. Tuberculosis TB, tuberculosis, directly observed treatment, etc. Malaria Malaria, bet nets, insecticide, etc. Health sector support Sector wide approach in health, sector program, etc. Maternal, newborn, and child health Antenatal, prenatal, maternal health, child mortality, etc. Noncommunicable diseases Cancer, chemotherapy, tobacco, psychological, cardiovascular, etc.

DAH by channel of assistance, 1990 to 2011

Total overseas health expenditures channeled through US NGOs by funding source, 1990-2011

Top 15 NGOs in overseas health expenditure, 2005 to 2008

Fund balances for UN health-related agencies at end of 2009

Top 30 country recipients of DAH, 2004 to 2009, compared with top 30 countries by all-cause burden of disease, 2004

Total DAH per all-cause DALY, 2004 to 2009

DAH for HIV-AIDS; maternal, newborn, and child health; malaria; health sector support; TB; and non-communicable disease

DAH for maternal and child health by channel of assistance, 1990 to 2009

DAH for health sector support by channel of assistance, 1990 to 2009

GHE-S by Global Burden of Disease developing region, 1995 to 2009

Domestic spending: continued growth Year Total growth East Asia growth 2004 8.7% 13.0% 2005 6.2% 10.2% 2006 12.1% 14.3% 2007 12.0% 23.0% 2008 11.1% 18.3% 2009 11.4% 19.2%

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Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2006 to 2007

Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2008 to 2009

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The document summarizes findings from a report that tracked global development assistance for health from 1990 to 2007. It found that development assistance for health nearly quadrupled over this period, fueled primarily by increases in funding for HIV/AIDS. New actors like the Global Fund and GAVI accounted for an increasing share of assistance. While disease burden and income levels influenced funding allocations, political and economic factors also appeared to play a role in determining which countries received assistance. The report aims to continue annually tracking development assistance to better inform global health policies and priorities.

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- Current health expenditure as a share of GDP in India has remained stable at around 3.84% since 2000, with private expenditure making up around three times the share of government expenditure. - Government spending on health as a share of total government spending averages 3%, while out-of-pocket expenditures make up around 69% of current health expenditures on average. - In 2011, high out-of-pocket payments contributed to 17% of the population spending over 10% of their budget on health, equivalent to 216 million people, and pushed 52.5 million people below the poverty line.

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The second phase of the “Under-5 Child Health and Mortality Statistics Project” sough to strengthen the evidence and understanding of key factors related to under-5 mortality in Yucatán, Mexico through the implementation and evaluation of both community and facility-based interventions, aimed at improving recognition of alarm signs among mothers and caretakers for common causes of death in children and improving the quality of cause of death certification for deaths of children under 5, respectively. This presentation, presented virtually to stakeholders at a results dissemination workshop in January 2021, provides an overview of the project and summarizes key results and learnings from the research.

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1. January 19, 2012 Christopher Murray, Director, IHME Michael Hanlon, Lecturer, IHME Financing Global Health 2011: Continued growth as MDG deadline approaches

3. IHME tries to inform three questions Question IHME’s work What are people’s health problems? Track adult, child, maternal mortality; The Global Burden of Disease 2010 Study How well does a society address these health problems? Track inputs, outputs and outcomes from public health, medical care, and other key social determinants What can be done in the future to maximize health improvement? Estimate cost effectiveness of major interventions and health system intervention options

7. Funding sources, channels of assistance, and implementing institutions

8. Data sources

10.

11.

12.

13. DAH by channel of assistance, 1990 to 2011

14. Change in DAH, 2010 to 2011

15. Global Fund: 2010 versus 2011

16. Global Fund: trends 2002 to 2011

17. DAH by source

18. DAH as share of GDP: USA #4

19. Total overseas health expenditures channeled through US NGOs by funding source, 1990-2011

20. Top 15 NGOs in overseas health expenditure, 2005 to 2008

21. Fund balances for UN health-related agencies at end of 2009

22. Top 30 country recipients of DAH, 2004 to 2009, compared with top 30 countries by all-cause burden of disease, 2004

23. Total DAH per all-cause DALY, 2004 to 2009

24. DAH for HIV-AIDS; maternal, newborn, and child health; malaria; health sector support; TB; and non-communicable disease

25. DAH for maternal and child health by channel of assistance, 1990 to 2009

26. DAH for health sector support by channel of assistance, 1990 to 2009

27.

28. GHE-S by Global Burden of Disease developing region, 1995 to 2009

29. Domestic spending: continued growth Year Total growth East Asia growth 2004 8.7% 13.0% 2005 6.2% 10.2% 2006 12.1% 14.3% 2007 12.0% 23.0% 2008 11.1% 18.3% 2009 11.4% 19.2%

30. Domestic spending: continued growth

31.

32. Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2006 to 2007

33. Relationship between GHE-S and DAH-G in East sub-Saharan Africa, 2008 to 2009

34.

35.

36.

37.

38.

39.

40.

Editor's Notes

Report Fig. 2
Report Fig. 8
Report Fig. 10

Financing global health 2011 global health council 011912_ihme

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