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.

1. Financing Global Health 2009: Tracking development assistance for health June 18, 2009 IHME

9. DAH from 1990 to 2007 by channel of assistance Source: IHME DAH Database Channels of assistance: New actors

10. When delivering DAH, donor country governments exhibited different preferences in terms of channels of assistance AUS = Australia, AUT = Austria, BEL = Belgium, CAN = Canada, CHE = Switzerland, DEU = Germany, DNK = Denmark, ESP = Spain, FIN = Finland, FRA = France, GBR = United Kingdom, GRC = Greece, IRL = Ireland, ITA = Italy, JPN = Japan, LUX = Luxembourg, NLD = the Netherlands, NOR =Norway, NZL = New Zealand, PRT = Portugal, SWE =Sweden, USA = United States. Source: IHME DAH Database Channel-wise composition of publicly financed DAH by donor in 2007

12. Dramatic growth in DAH from 1990-2007 Source: IHME DAH Database DAH from 1990 to 2007 by source of funding

14. DAH composed of both monetary and in-kind transfers Source: IHME DAH Database DAH from 1990 to 2007 by type of assistance

16. US public and private contributions accounted for growing share of total health aid flows Source: IHME DAH Database DAH from 1990 to 2007 by country of origin

17. Sweden, Luxembourg, Norway, and Ireland provide greater shares of national income to DAH than US AUS = Australia, AUT = Austria, BEL = Belgium, CAN = Canada, CHE = Switzerland, DEU = Germany, DNK = Denmark, ESP = Spain, FIN = Finland, FRA = France, GBR = United Kingdom, GRC = Greece, IRL = Ireland, ITA = Italy, JPN = Japan, LUX = Luxembourg, NLD = the Netherlands, NOR =Norway, NZL = New Zealand, PRT = Portugal, SWE =Sweden, USA = United States. Source: IHME DAH Database and World Bank World Development Indicators Development assistance for health as a percent of national income, in 2007

19. More DAH routed through US NGOs Source: IHME NGO Database Total overseas health expenditure by US NGOs from 1990 to 2007

20. Large share of DAH allotted to HIV/AIDS; smaller shares went to tuberculosis, malaria, and health sector support Source: IHME DAH and Project Databases DAH from 1990 to 2007 for HIV/AIDS, tuberculosis, malaria and health sector support

22. HIV/AIDS funding dominated by US government and GFATM Source: IHME Project Database Development assistance for HIV, 1990 to 2007

24. DAH for malaria increased substantially since 2005 Source: IHME Project Database Development assistance for malaria, 1990 to 2007

26. Sub-Saharan Africa receives most significant share of DAH compared to other regions Source: IHME DAH and Project Databases DAH from 1990 to 2007 by focus region

28. Country allocation of DAH appears to be driven by considerations beyond burden of disease Source: IHME Project Database Top 10 recipients of development assistance for health from 2002 to 2007, disaggregated by channel of assistance

29. Geo-political and economic considerations influence DAH as well as ties between donor countries and their ex-colonies and protectorates Source: IHME Project Database and UN World Population Database Top 10 countries in terms of per capita development assistance for health received from 2002 to 2007, disaggregated by channel of assistance