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Assessing development assistance for child survival between 2000 and 2014: A multi-sectoral perspective
Chunling Lu1,2,3, Annie Chu2, Zhihui Li4
1Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.
Plos One
|July 13, 2017
Summary
Donor funding for child survival increased significantly, yet many countries missed child mortality goals. Aid to health, education, water, sanitation, and food sectors is crucial for reducing child deaths.
Area of Science:
- Global Health
- Development Economics
- Public Policy
Background:
- Many countries failed to meet the fourth Millennium Development Goal (MDG 4) for child mortality reduction.
- Increased donor funding to the health sector did not guarantee progress in child survival.
- Previous research on aid for child survival focused narrowly on reproductive, maternal, newborn, and child health (RMNCH).
Purpose of the Study:
- To adopt a multi-sectoral approach to track aid for child survival.
- To extend aid estimation beyond RMNCH to include health (non-RMNCH), education, water and sanitation, and food and humanitarian assistance (Food/HA) sectors.
- To analyze aid trends and levels across these four sectors globally, regionally, and nationally.
Main Methods:
- Utilized donor-reported data from OECD Creditor Reporting System and Development Assistance Committee (DAC).
- Developed a strategy combining keyword searches and manual coding to identify RMNCH aid projects.
- Employed an integrated approach to estimate lower and upper bounds for RMNCH aid in multi-purpose projects.
- Conducted imputation for missing data and sensitivity analyses for estimation methods.
Main Results:
- Total aid to the four sectors in 134 countries rose from US$22.62 billion in 2000 to US$59.29 billion in 2014.
- Aid to RMNCH saw the fastest growth (12.4%), followed by Food/HA (9.4%), education (5.1%), and water and sanitation (5.0%).
- Countdown countries received less per capita aid in non-RMNCH sectors compared to non-Countdown countries.
Conclusions:
- Targeted investments across health, education, water/sanitation, and food/humanitarian assistance are vital for improving child survival.
- Aid to non-health sectors can significantly contribute to child mortality reduction.
- Future research should broaden the scope beyond the health sector when tracking aid for child survival.
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