Literature DB >> 10621239

Keeping a tight grip on the reins: donor control over aid coordination and management in Bangladesh.

K Buse1.   

Abstract

A long-standing consensus that aid coordination should be owned by recipient authorities has been eclipsed by accord on the desirability of recipient management of aid along-side domestic resources. Nonetheless, in many low and lower-middle income countries, donors remain remarkably uncoordinated; where attempts at coordination are made, they are often donor-driven, and only a small proportion of aid is directly managed by recipients. This paper draws on evidence from an in-depth review of aid to the health sector in Bangladesh to analyze the systems by which external resources are managed. Based on interviews with key stakeholders, a questionnaire survey and analysis of documentary sources, the factors constraining the government from assuming a more active role in aid management are explored. The results suggest that donor perceptions of weak government capacity, inadequate accountability and compromised integrity only partially account for the propensity for donor leadership. Equally important is the consideration that aid coordination has a markedly political dimension. Stakeholders are well aware of the power, influence and leverage which aid coordination confers, an awareness which colours the desire of some stakeholders to lead aid coordination processes, and conditions the extent and manner by which others wish to be involved. It is argued that recipient management of external aid is dependent on major changes in the attitudes and behaviours of recipients and donors alike.

Entities:  

Keywords:  Asia; Bangladesh; Delivery Of Health Care; Developing Countries; Government Agencies; Health; Health Services; Organization And Administration; Organizations; Planning; Policy; Policy Development; Southern Asia; Summary Report

Mesh:

Year:  1999        PMID: 10621239     DOI: 10.1093/heapol/14.3.219

Source DB:  PubMed          Journal:  Health Policy Plan        ISSN: 0268-1080            Impact factor:   3.344


  15 in total

1.  Health systems financing: putting together the "back office".

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Journal:  BMJ       Date:  2005-10-01

2.  A strategy to improve priority setting in developing countries.

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3.  Development cooperation for health: reviewing a dynamic concept in a complex global aid environment.

Authors:  Peter S Hill; Rebecca Dodd; Scott Brown; Just Haffeld
Journal:  Global Health       Date:  2012-03-15       Impact factor: 4.185

4.  Power and Agenda-Setting in Tanzanian Health Policy: An Analysis of Stakeholder Perspectives.

Authors:  Sara Elisa Fischer; Martin Strandberg-Larsen
Journal:  Int J Health Policy Manag       Date:  2016-02-09

5.  Theory and practice--a case study of coordination and ownership in the Bangladesh health SWAp.

Authors:  Jesper Sundewall; Birger Carl Forsberg; Göran Tomson
Journal:  Health Res Policy Syst       Date:  2006-05-16

6.  Aid alignment: a longer term lens on trends in development assistance for health in Uganda.

Authors:  Elizabeth Stierman; Freddie Ssengooba; Sara Bennett
Journal:  Global Health       Date:  2013-02-20       Impact factor: 4.185

7.  The health systems funding platform and World Bank legacy: the gap between rhetoric and reality.

Authors:  Scott S Brown; Kasturi Sen; Kristof Decoster
Journal:  Global Health       Date:  2013-03-06       Impact factor: 4.185

Review 8.  The terrain of health policy analysis in low and middle income countries: a review of published literature 1994-2007.

Authors:  Lucy Gilson; Nika Raphaely
Journal:  Health Policy Plan       Date:  2008-07-22       Impact factor: 3.344

9.  Global Health Donor Presence, Variations in HIV/AIDS Prevalence, and External Resources for Health in Developing Countries in Africa and Asia.

Authors:  Romuladus Emeka Azuine; Gopal K Singh; Sussan E Ekejiuba; Eta Ashu; Magnus A Azuine
Journal:  Int J MCH AIDS       Date:  2014

10.  Fifteen years of sector-wide approach (SWAp) in Bangladesh health sector: an assessment of progress.

Authors:  Karar Zunaid Ahsan; Peter Kim Streatfield; Rashida-E- Ijdi; Gabriela Maria Escudero; Abdul Waheed Khan; M M Reza
Journal:  Health Policy Plan       Date:  2015-11-18       Impact factor: 3.344

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