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
& survey areas
• Aid allotted to
Aid recipients associated with
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
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.