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The aid effectiveness discourse: Impact of aid on health outcomes in Uganda

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THE AID EFFECTIVENESS DISCOURSE: IMPACT OF AID ON HEALTH OUTCOMES IN UGANDA

 

The health sector received substantial aid over the past decades – relatively stable

Most of the aid allocated for health infrastructure/system development

 

UGANDAN CONTEXT AND MOTIVATION

v In Uganda, aid effectiveness evidence remains anecdotal
 
v There is substantial HDA inflow but most health indicators remain unimpressive & below desirable global health standard e.g. high Maternal Mortality Rate at 438 per 100,000 livebirths and substantial HIV/AIDS and malaria burden – UBOS & ICF International 2012, MoH, 2010).

 

v This is one of the first studies on HDA in Uganda using a combination of micro panel and geo-referenced data
 
v The study provides insights for policy makers and development partners/practitioners to improve targeting of health aid

 

STUDY OBJECTIVE: To analyze the effect of HDA on health outcomes in Uganda

Research / policy questions:

(a)How effective is HDA in improving health outcomes and how can effectiveness be enhanced?
(b) How can HDA targeting be improved?
 
Data & Analysis
•- Uganda National Household Survey (2005) & Uganda National Panel Survey (2011/12) based on a panel of  10354 individuals
•- Geo-coded foreign aid data – AidData : (Aid projects effective 2006-2010)
•- Descriptive statistics
•- Difference-In-Differences estimation (Diff-in-Diff) with Fixed Effect
•Treatment: Health aid
•Outcome: Disease severity & disease burden
 
 
FINDINGS
 

Aid location

   & survey areas

 

•  Aid allotted to

   well-off areas

 

Aid recipients associated with

relatively better

welfare status

 

v  Aid was not preferentially targeted to localities with worst health conditions

 
v  Health aid is instrumental in reducing disease burden (both in the sub & entire population). But estimates are lower in entire population

 

v  Relationship between aid & disease severity is less robust, as it is only significant using full sample (entire population)
 
v  Aid impact is stronger for individuals closer to aid projects, implying increased effectiveness if channeled closer to intended beneficiaries
 
 

 

WAY FORWARD

üFindings suggest the need for development partners to better target HDA into areas with higher disease prevalence

 

üAid ought to be channeled as close to intended beneficiaries as possible, thus offering supplementary benefit of driving Universal Health Coverage through the “close to client” health system strategy.

 

 

 

 

 
 
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