By Emanuele Capobianco, Veni Naidu

This examine studies relief flows to the health and wellbeing area in Somalia over the interval 2000-2006. In shut collaboration with the overall healthiness region Committee of the Coordination of foreign aid to Somalis the authors amassed quantitative and qualitative facts from twenty-six overseas organizations working in Somalia, together with bilateral and multilateral donors. The paper reaches 3 major conclusions. First, reduction financing to the future health zone in Somalia has been regularly turning out to be, achieving US$ 7-10 consistent with capita in 2006. even if this can be a massive quantity in comparison to different fragile states, it could nonetheless be inadequate to handle the inhabitants s wishes and to fulfill the excessive operational expenses to paintings in Somalia. Secondly, contributions to the health and wellbeing quarter might and may be extra strategic. the point of interest on a few vertical courses (e.g. HIV/AIDS and malaria) turns out to have diverted consciousness clear of different very important courses (e.g. immunization and reproductive healthiness) and from easy overall healthiness procedure wishes (infrastructure, human assets, etc.). The 3rd end is that extra analytical paintings on future health financing is required to force coverage judgements in Somalia. equally to different fragile states, caliber info on wellbeing and fitness area financing is scanty, hence affecting the coverage making procedure negatively.

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Extra info for A Review of Health Sector Aid Financing to Somalia (World Bank Working Papers) (World Bank Working Papers; Africa Human Development)

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2 million) are an indication of the high transaction costs to operate in Somalia. It should be noted that operation costs do not include the costs for transporting supplies through the ECHO financed flight services. 36 World Bank Working Paper Table 11. 2% Total a Purpose EPI, Malaria, Polio, and other essential supplies Agencies’ transport and staff costsa Primary health care activities/ essential services. It includes salaries paid to clinic staff Rehabilitation of health facilities, equipment staff costs.

Financing for EPI activities was irregular, with a decline between 2002 and 2005 and an increase in 2006 linked to measles campaigns. 9 million in 2006. 4 million) in the same year. It would be erroneous to derive a causality link between funding and performance, as many factors related to access, utilization and quality of services could combine to keep EPI coverage low. However, it is likely that more financial resources for EPI could help to tackle key bottlenecks for service delivery. As EPI relies heavily on the existing health network, the program’s performance may also benefit from increased financing to the overall health system and primary health care (see Figure 19).

Given the nature of the eradication program and its global target, a large amount of funding will continue to be needed until the virus is eradicated not only from Somalia but globally. ■ The TB program, one of the most successful programs in Somalia, achieved the WHO global targets for treatment success and case detection rates in 2004. 5 million/year for the period 2000 to 2004). In 2005 and 2006 a six fold increase in funding (US$3 million/year) was allocated mostly through GFATM contributions.

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