world crisis : its impact on health cooperation external relations, mobilization of resources, and...
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WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Regional consultation meetingRegional consultation meeting
Harmonization and Alignment of Cooperation in Middle-income Harmonization and Alignment of Cooperation in Middle-income CountriesCountries
Dr. Juan Manuel SoteloDr. Juan Manuel SoteloPan American Health Organization (PAHO/WHO)Pan American Health Organization (PAHO/WHO)
Integrated health services networks and vertical programs: Maximizing synergies for collaborative work
Cuzco, Peru11-12 November 2009
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnershipsActors inActors inInternational Cooperation on HealthInternational Cooperation on Health
GOVERNMENTALASSISTANCE
NON-GOVERNMENTALASSISTANCE
OFFICIAL AGENCYBilateral Path
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
ODA of OECD members, 1990-2010ODA of OECD members, 1990-2010
0.33
Source: OECD database
ODE as % of GDP
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% o
f G
DP
0
20
40
60
80
100
120
140
OD
A (
2004
US
D B
illo
n)
ODA as % GDP Total ODA to Africa Total ODA
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% o
f G
NI
0
20
40
60
80
100
120
140
OD
A (
2004
US
D B
illo
n)
ODA as % GNI Total ODA to Africa Total ODA
0.33
0.22
ODA of OECD members, 1990-2010ODA of OECD members, 1990-2010
ODA as % of GDP
Source: OECD database
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% o
f G
NI
0
20
40
60
80
100
120
140
OD
A (
2004
US
D B
illo
n)
ODA as % GNI Total ODA to Africa Total ODA
0.33
0.22
ODA as % of GDP
ODA of OECD members, 1990-2010ODA of OECD members, 1990-2010
Source: OECD database
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% o
f G
NI
0
20
40
60
80
100
120
140
OD
A (
2004
US
D B
illo
n)
ODA as % GNI Total ODA to Africa Total ODA
0.33
0.22
0.33
Total ODA
ODA as % of GDP
ODA of OECD members, 1990-2010ODA of OECD members, 1990-2010
Source: OECD database
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% o
f G
NI
0
20
40
60
80
100
120
140
OD
A (
2004
US
D B
illo
n)
ODA as % GNI Total ODA to Africa Total ODA
0.33
0.22
0.28
0.33
Total ODA
ODA as % of GDP
ODA of OECD members, 1990-2010ODA of OECD members, 1990-2010
Source: OECD database
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
0.33
0.22
0.28
0.35
0.33
Increase required to achieve goals by 2010
ODA as % of GNI
Total ODA
ODA of OECD members, 1990-2010ODA of OECD members, 1990-2010
Source: OECD database
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% o
f G
NI
0
20
40
60
80
100
120
140
OD
A (
2004
US
D B
illo
n)
ODA as % GDP Total ODA to Africa Total ODA
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Latin America in the global Latin America in the global contextcontext
•Latin America has lost a share of ODA.
•In the past two years, ODA to the region has registered the lowest levels of the decade as a percentage of total ODA to developing countries.
•In per capita terms, Latin America receives one-third of what Eastern Europe or sub-Saharan Africa receives.
ODA by world region 2005 – 2007
-
5 000
10 000
15 000
20 000
25 000
30 000
35 000
40 000
45 000
50 000
AFRICA
AMERICA
ASIA
EUROPE
OCEANIA
US
D M
illio
n 2005
2006
2007
ODA to Latin America and the Caribbean in %
0.0
2.0
4.0
6.0
8.0
10.0
12.0
2003 2004 2005 2006 2007
Year
%
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Latin America and the Caribbean, HDI 2007
Source: PAHO with data of UNDP 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
Haiti
Nicaragua
Guatemala
Guyana
Bolivia
Honduras
El Salvador
Paraguay
Jamaica
Suriname
Belize
St. Vincent & the Grenadines
Dominican Republic
Ecuador
Peru
Colombia
Grenada
Brazil
Dominica
St. Lucia
Trinidad & Tobago
St. Kitts & Nevis
Panama
Venezuela
Costa Rica
Mexico
Cuba
Uruguay
Argentina
Antigua & Barbuda
Chile
Barbados
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid, by source, 2007
Source Cooperationon health Channel
Government65.7%
US$ 14,322 million
Private sources26.7%
US$ 5,814 million
Debt forgiveness1.8%
US$ 398 million
Other and unclassified5.8%
US$ 1,253 million
Bilateral agencies34%
US$ 7,398 million
Development Banks7.2%
US$ 1,575 million
UN agencies14%
US$ 3,059 million
European Commission2.4%
US$ 521 million
Global Partnerships on Health12.5%
US$ 2,718 million
Philanthropic foundations5.2%
US$ 1,143 million
NGOs24.7%
US$ 5,375 million
International cooperationon health
100%US$º 21,788 million
Source: Author, with Health Metrics and Evaluation data, University of Washington.
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Changes in international health aid, 1990-2007, LAC
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0
200
400
600
800
1000
1200
1400
1600
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
US
D M
illi
on
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid by subregion in Latin America and the
Caribbean, 1990-2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
200.00
400.00
600.00
800.00
1000.00
1200.00
1400.00
1600.00
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
US
D M
illi
on
Caribbean
MERCOSUR
Andean
Central America
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid by subregion in Latin America and the
Caribbean, 1990-2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
A
0
200
400
600
800
1000
1200
1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007
Biennia
US
D M
illi
on
Central America
Andean
MERCOSUR
Caribbean
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnershipsHealth aid in Andean countries,
1990 -2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
100.00
200.00
300.00
400.00
500.00
600.00
700.00
1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007
Biennia
US
D M
illio
n
Colombia
Bolivia
Peru
Ecuador
Chile
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid in Central American countries,1990-2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
20.00
40.00
60.00
80.00
100.00
120.00
140.00
160.00
1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007
US
D M
illilo
n
Nicaragua
Honduras
Guatemala
Dominican Republic
El Salvador
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid in MERCOSUR countries,1990-2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
50.00
100.00
150.00
200.00
250.00
300.00
350.00
400.00
450.00
500.00
1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007
US
D M
illio
n
Argentina
Brazil
Paraguay
Uruguay
Venezuela
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid in Caribbean countries,1990-2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
10.00
20.00
30.00
40.00
50.00
60.00
1990-1991 1992-1993 1994-1995 1996-1997 1998-1999 2000-2001 2002-2003 2004-2005 2006-2007
US
D M
illio
n
Guyana
Cuba
Jamaica
Suriname
St. Helena
Belize
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Health aid in Latin American and Caribbean countries, 2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
20.00
40.00
60.00
80.00
100.00
120.00
140.00
Hai
tiA
rgen
tina
Bra
zil
Col
ombi
aN
icar
agua
Bol
ivia
Hon
dura
sP
eru
Gua
tem
ala
Mex
ico
Ecu
ador
Dom
inic
an R
epub
licE
l Sal
vado
rG
uyan
aP
arag
uay
Cub
aJa
mai
caC
hile
Sur
inam
eU
rugu
ayP
anam
aC
osta
Ric
aS
t. H
elen
aV
enez
uela
Bel
ize
Gre
nada
St.
Luci
aS
t. K
itts
& N
evis
St.
Vin
cent
& th
e G
rena
dine
sD
omin
ica
Mon
tser
rat
Trin
idad
& T
obag
oB
arba
dos
Ang
uilla
Turk
s &
Cai
cos
Is.
Ant
igua
& B
arbu
da
Net
herla
nds
Ant
illes
US
D M
illio
n
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Per capita health aid in Latin American and
Caribbean countries, 2007
Source: PAHO with data from the Institute for Health Metrics and Evaluation.
University of Washington
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
Guy
ana
Sur
inam
eH
aiti
Nic
arag
uaH
ondu
ras
Gre
nada
Bol
ivia
Bel
ize
El S
alva
dor
Jam
aica
Dom
inic
an R
epub
licG
uate
mal
aE
cuad
orA
rgen
tina
Par
agua
yU
rugu
ayC
olom
bia
Per
uS
t. Lu
cia
Pan
ama
St.
Vin
cent
& th
e G
rena
dine
sC
uba
Cos
ta R
ica
Chi
leB
razi
lM
exic
oV
enez
uela
Ang
uilla
Net
herla
nds
Ant
illes
Ant
igua
& B
arbu
daB
arba
dos
Dom
inic
aS
t. K
itts
& N
evis
Mon
tser
rat
St.
Hel
ena
Turk
s &
Cai
cos
Is.
Trin
idad
& T
obag
o
US
D p
er c
apit
a
WORLD CRISIS: Its impact on health cooperationExternal relations, mobilization of resources, and partnerships
Paris Declaration: aid effectiveness
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