Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection

The Paris Declaration defined five components of aid effectiveness: ownership, alignment, harmonization, managing for results and mutual accountability. Afghanistan, which has received a high level of donor aid for health since 2002, has seen significant improvements in health indicators, expanded a...

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Main Authors: Dalil, Suraya, Newbrander, William, Loevinsohn, Benjamin, Naeem, Ahmad Jan, Griffin, James, Salama, Peter, Momand, Faiz Mohammad
Format: Journal Article
Language:en_US
Published: Taylor and Francis 2014
Subjects:
Online Access:http://hdl.handle.net/10986/20466
id okr-10986-20466
recordtype oai_dc
spelling okr-10986-204662021-04-23T14:03:56Z Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection Dalil, Suraya Newbrander, William Loevinsohn, Benjamin Naeem, Ahmad Jan Griffin, James Salama, Peter Momand, Faiz Mohammad aid effectiveness donors ownership donor alignment health system health reform The Paris Declaration defined five components of aid effectiveness: ownership, alignment, harmonization, managing for results and mutual accountability. Afghanistan, which has received a high level of donor aid for health since 2002, has seen significant improvements in health indicators, expanded access to health services and an increased range of services. Do the impressive health outcomes in this fragile state mean that aid has been effectively utilized? The factors that contributed to the success of the Ministry of Public Health (MOPH)-donor partnership include as follows: Ownership: a realistic role for the MOPH as the steward of the health sector that was clearly articulated to all stakeholders; Donor alignment: donor coordination and collaboration initiated by the MOPH; Joint decisions: participatory decision-making by the MOPH and donors, such as the major decision to use contracts with nongovernmental organizations for health service delivery; Managing for results: basing programs on available evidence, supplementing that evidence where possible and performance monitoring of health-sector activities using multiple data sources; Reliable aid flows: the availability of sufficient donor funding for more than 10 years for MOPH priorities, such as the Basic Package of Health Services, and other programs that boosted system development and capacity building; Human factors: these include a critical mass of individuals with the right experience and expertise being deployed at the right time and able to look beyond agency mandates and priorities to support sector reform and results. These factors, which made aid to Afghanistan effective, can be applied in other countries. 2014-10-22T17:28:57Z 2014-10-22T17:28:57Z 2014-06-12 Journal Article Journal Article Global Public Health 1744-1692 http://hdl.handle.net/10986/20466 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research :: Journal Article Afghanistan
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language en_US
topic aid effectiveness
donors
ownership
donor alignment
health system
health reform
spellingShingle aid effectiveness
donors
ownership
donor alignment
health system
health reform
Dalil, Suraya
Newbrander, William
Loevinsohn, Benjamin
Naeem, Ahmad Jan
Griffin, James
Salama, Peter
Momand, Faiz Mohammad
Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection
geographic_facet Afghanistan
description The Paris Declaration defined five components of aid effectiveness: ownership, alignment, harmonization, managing for results and mutual accountability. Afghanistan, which has received a high level of donor aid for health since 2002, has seen significant improvements in health indicators, expanded access to health services and an increased range of services. Do the impressive health outcomes in this fragile state mean that aid has been effectively utilized? The factors that contributed to the success of the Ministry of Public Health (MOPH)-donor partnership include as follows: Ownership: a realistic role for the MOPH as the steward of the health sector that was clearly articulated to all stakeholders; Donor alignment: donor coordination and collaboration initiated by the MOPH; Joint decisions: participatory decision-making by the MOPH and donors, such as the major decision to use contracts with nongovernmental organizations for health service delivery; Managing for results: basing programs on available evidence, supplementing that evidence where possible and performance monitoring of health-sector activities using multiple data sources; Reliable aid flows: the availability of sufficient donor funding for more than 10 years for MOPH priorities, such as the Basic Package of Health Services, and other programs that boosted system development and capacity building; Human factors: these include a critical mass of individuals with the right experience and expertise being deployed at the right time and able to look beyond agency mandates and priorities to support sector reform and results. These factors, which made aid to Afghanistan effective, can be applied in other countries.
format Journal Article
author Dalil, Suraya
Newbrander, William
Loevinsohn, Benjamin
Naeem, Ahmad Jan
Griffin, James
Salama, Peter
Momand, Faiz Mohammad
author_facet Dalil, Suraya
Newbrander, William
Loevinsohn, Benjamin
Naeem, Ahmad Jan
Griffin, James
Salama, Peter
Momand, Faiz Mohammad
author_sort Dalil, Suraya
title Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection
title_short Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection
title_full Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection
title_fullStr Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection
title_full_unstemmed Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection
title_sort aid effectiveness in rebuilding the afghan health system : a reflection
publisher Taylor and Francis
publishDate 2014
url http://hdl.handle.net/10986/20466
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