Translations of health sector SWAps—A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh

Sundewall, Jesper; Sahlin‐Andersson, Kerstin

doi:10.1016/j.healthpol.2005.06.009

Cited by 37 publications

(32 citation statements)

References 14 publications

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“…All the three are relevant to both the priority setting process (to ensure consistent stakeholder participation), and implementation (to ensure compliance with the identified priorities). For example, at the macrolevel, understanding and addressing the motivations development partners and multilateral donors who finance the health sector [30,31] may facilitate their continual participation and buy into the national government plans and priorities and hence facilitate their ability to implement the plans. Understanding the political, economic and social/cultural contexts in which priority setting occurs may even be more crucial in LMICs [3,12,15].…”

Section: Relevant Contextual Factors Impacting Successful Priority Sementioning

confidence: 99%

Successful Priority Setting in Low and Middle Income Countries: A Framework for Evaluation

Kapiriri¹,

Martin

2009

Health Care Anal

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Priority setting remains a big challenge for health managers and planners, yet there is paucity of literature on evaluating priority setting. The purpose of this paper is to present a framework for evaluating priority setting in low and middle income countries. We conducted a qualitative study involving a review of literature and Delphi interviews with respondents knowledgeable of priority setting in low and middle income countries. Respondents were asked to identify the measures of successful priority setting in low and middle income countries. Responses were grouped as: immediate internal or external/delayed internal or external. We also identified some pre-requisites for successful priority setting. The immediate internal measures included increased efficiency in decision making, improved quality of decisions and fairer priority setting. Immediate External measures included-improved public understanding and acceptance of decisions, increased public participation, increased trust. Delayed Internal measures included increased satisfaction, understanding, compliance, balanced budget, achievement of organization goals, and improved internal accountability. Delayed External measures include impact on policy and practice, improved population health and reduction of health inequalities, achievement of health system goals and strengthening of health care systems. Identified pre-requisites for successful priority setting included; the presence of credible priority setting institutions, incentives for participation and implementation and resources, capacity and political will to implement. These would be augmented in a conducive political, social and economic context. This framework, although not exhaustive, provides a practical basis for planning and evaluating priority setting in low and middle income countries.

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Section: Relevant Contextual Factors Impacting Successful Priority Sementioning

confidence: 99%

Successful Priority Setting in Low and Middle Income Countries: A Framework for Evaluation

Kapiriri¹,

Martin

2009

Health Care Anal

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“…This can be facilitated through identifying and empowering the legitimate people/institutions by augmenting their capacity to set priorities through training, ensuring that they have access to credible evidence and tools, and the legal and moral mandate, to enable them to make priority setting decisions. Effective implementation of Sector Wide Approaches (whereby donors support the budget of the health sector through basket funding (as opposed to vertical projects), and governments take the lead in identifying their own priorities), may be useful in mitigating these external power influences [32].…”

Section: Box 1 the Mismatch Between Actual And Ideal Decision Makers mentioning

confidence: 99%

A Strategy to Improve Priority Setting in Developing Countries

Kapiriri

Martin

2007

Health Care Anal

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Because the demand for health services outstrips the available resources, priority setting is one of the most difficult issues faced by health policy makers, particularly those in developing countries. Priority setting in developing countries is fraught with uncertainty due to lack of credible information, weak priority setting institutions, and unclear priority setting processes. Efforts to improve priority setting in these contexts have focused on providing information and tools. In this paper we argue that priority setting is a value laden and political process, and although important, the available information and tools are not sufficient to address the priority setting challenges in developing countries. Additional complementary efforts are required. Hence, a strategy to improve priority setting in developing countries should also include: (i) capturing current priority setting practices, (ii) improving the legitimacy and capacity of institutions that set priorities, and (iii) developing fair priority setting processes.

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“…In addition, the SWAP can be seen as a set of principles to give aid, but its implementation varies between the different countries, as the local political and cultural context have been found to influence the 'shape' of the SWAP in different countries, and hence its effectiveness (Sundewall and Sahlin-Andersson 2006).…”

Section: Sector-wide Approachesmentioning

confidence: 99%

Aid Effectiveness in the Health Sector

Acharya¹,

Martínez-Álvarez²

2012

Better Aid

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This paper explores the current evidence underlying the debate on aid effectiveness, with a specific focus on the health sector. It summarizes the history of aid and outlines the methodological challenges encountered when assessing its effectiveness. The current evidence on 'what works' in the different aid modalities is outlined, highlighting examples of success. The review finds that resource allocation, lack of predictability of funds, fragmentation, fungibility and the system of relationships foreign aid generates all hinder its effectiveness. Furthermore, even when projects are successful, countries face constraints in scaling them up. The aid effectiveness debate is dynamic, however, and constantly influenced by new global policies and players. The paper ends with a discussion of the future of aid and how these new actors and policies are likely to shape the landscape of development co-operation.

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Translations of health sector SWAps—A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh

Cited by 37 publications

References 14 publications

Successful Priority Setting in Low and Middle Income Countries: A Framework for Evaluation

Successful Priority Setting in Low and Middle Income Countries: A Framework for Evaluation

A Strategy to Improve Priority Setting in Developing Countries

Aid Effectiveness in the Health Sector

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