Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection

doi:10.1080/17441692.2014.918162

Publication:
Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection

dc.contributor.author	Dalil, Suraya
dc.contributor.author	Newbrander, William
dc.contributor.author	Loevinsohn, Benjamin
dc.contributor.author	Naeem, Ahmad Jan
dc.contributor.author	Griffin, James
dc.contributor.author	Salama, Peter
dc.contributor.author	Momand, Faiz Mohammad
dc.date.accessioned	2014-10-22T17:28:57Z
dc.date.available	2014-10-22T17:28:57Z
dc.date.issued	2014-06-12
dc.description.abstract	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.	en
dc.identifier.citation	Global Public Health
dc.identifier.doi	10.1596/20466
dc.identifier.issn	1744-1692
dc.identifier.uri	https://hdl.handle.net/10986/20466
dc.language.iso	en_US
dc.publisher	Taylor and Francis
dc.rights	CC BY-NC-ND 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.subject	aid effectiveness
dc.subject	donors
dc.subject	ownership
dc.subject	donor alignment
dc.subject	health system
dc.subject	health reform
dc.title	Aid Effectiveness in Rebuilding the Afghan Health System : A Reflection	en
dc.type	Journal Article	en
dc.type	Article de journal	fr
dc.type	Artículo de revista	es
dc.type	Journal Article	en
dc.type	Article de journal	fr
dc.type	Artículo de revista	es
dspace.entity.type	Publication
okr.date.disclosure	2014-10-22
okr.date.doiregistration	2025-05-06T11:38:48.263151Z
okr.doctype	Publications & Research::Journal Article
okr.externalcontent	External Content
okr.globalpractice	Health, Nutrition, and Population
okr.globalpractice	Macroeconomics and Fiscal Management
okr.identifier.doi	10.1080/17441692.2014.918162
okr.journal.nbpages	S124-S136
okr.language.supported	en
okr.peerreview	Academic Peer Review
okr.region.country	Afghanistan
okr.relation.associatedurl	http://www.tandfonline.com/doi/abs/10.1080/17441692.2014.918162
okr.topic	Health, Nutrition and Population::Health Economics & Finance
okr.topic	Health, Nutrition and Population::Health Systems Development & Reform
okr.topic	Macroeconomics and Economic Growth::Development Economics & Aid Effectiveness
okr.unit	Global Practice on Health, Nutrition, and Population (GHNDR)
okr.volume	9(Suppl 1)