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2. An Index of the Quality of Official Development Assistance in Health
- Author:
- Amanda Glassman and Denizhan Duran
- Publication Date:
- 02-2012
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- Health is one of the largest and most complex aid sectors: 16 percent of all aid went to the health sector in 2009. While many stress the importance of aid effectiveness, there are limited quantitative analyses of the quality of health aid. In this paper, we apply Birdsall and Kharas's Quality of Official Development Assistance (QuODA) methodology to rank donors across 23 indicators of aid effectiveness in health. We present our results, track progress from 2008 to 2009, compare health to overall aid, discuss our limitations, and call for more transparent and relevant aid data in the sector level as well as the need to focus on impact and results.
- Topic:
- Development, Health, Human Welfare, Humanitarian Aid, and Foreign Aid
3. Performance-Based Incentives for Health: Conditional Cash Transfer Programs in Latin America and the Caribbean
- Author:
- Amanda Glassman, Jessica Todd, and Marie Gaarder
- Publication Date:
- 04-2007
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- In order to support poor families in the developing world to seek and use health care, a multi-pronged strategy is needed on both the supply and the demand side of health care. A demand-side program called Conditional Cash Transfers (CCTs) strives to reduce poverty and also increase food consumption, school attendance, and use of preventive health care. Since 1997, seven countries in Latin America have implemented and evaluated CCT programs with health and nutrition components. The core of the program is based on encouraging poor mothers to seek preventive health services and attend health education talks by providing a cash incentive for their healthy behavior (with healthy behavior representing performance). Evaluations of these programs measured outputs in the utilization of services; health knowledge, attitudes, and practice; food consumption; the supply and quality of services; as well as outcomes in vaccination rates; nutritional status; morbidity; mortality; and fertility.
- Topic:
- Development, Health, and Humanitarian Aid
- Political Geography:
- Latin America
4. Performance-Based Incentives for Health: Six Years of Results from Supply-Side Programs in Haiti
- Author:
- Amanda Glassman, Jessica Todd, and Marie Gaarder
- Publication Date:
- 04-2007
- Content Type:
- Working Paper
- Institution:
- Center for Global Development
- Abstract:
- USAID launched a project in 1995 to deliver basic health services in Haiti. The project began by reimbursing contracted NGOs for documented expenditures or inputs. In 1999, payment was changed to being based partly on attaining performance targets or outputs. The project also provided technical assistance to the NGOs, along with opportunities to participate in an NGO network and other cross-fertilization activities. Remarkable improvements in key health indicators have been achieved in the six years since payment for performance was phased in. Although it is difficult to isolate the effects of performance-based payment on these improved indicators from the efforts aimed at strengthening NGOs and other factors, panel regression results suggest that the new payment incentives were responsible for considerable improvements in both immunization coverage and attended deliveries. Results for prenatal and postnatal care were less significant, perhaps suggesting a strong patient behavioral element that is not under the influence of provider actions.
- Topic:
- Development, Health, and Humanitarian Aid
- Political Geography:
- Caribbean and Haiti