Bulletin of the World Health Organization

Are current debt relief initiatives an option for scaling up health financing in beneficiary countries?

M Kaddar, E Furrer

Volume 86, Number 11, November 2008, 877-883

Table 1. Committed debt relief under the HIPC initiative and MDRI compared to public health spending (in million US$) in 23 countries, September 2008a

Countries at completion point for HIPC initiativeb HIPC qualification date
Nominal debt relief
HIPC debt service relief compared to public health spending
Decision point date Completion point date Under HIPCc Under MDRI Average annual HIPC debt reliefd A Public health spending in 2005e B A as a % of B
Benin Jul 2000 Mar 2003 460 1 128 23 130 18
Bolivia Feb 2000 Jun 2001 2 060 2 850 124 399 31
Burkina Faso Jul 2000 Apr 2002 930 1 194 25 187 13
Cameroon Oct 2000 Apr 2006 4 917 1 297 133 256 52
Ethiopia Nov 2001 Apr 2004 3 275 3 319 144 309 47
Gambia Dec 2000 Dec 2007 90 393 9.6 9 113
Ghana Feb 2002 Jul 2004 3 500 3 921 236 277 85
Guyana Nov 2000 Dec 2003 1 354 712 57 37 154
Honduras Jun 2000 Apr 2005 1 000 2 739 75 369 20
Madagascar Dec 2000 Oct 2004 1 900 2 397 62 106 58
Malawi Dec 2000 Aug 2006 1 600 1 593 90 227 40
Mali Sep 2000 Mar 2003 895 1 967 45 159 28
Mauritania Feb 2000 Jun 2000 1 100 882 46 37 124
Mozambique Apr 2000 Sep 2001 4 300 2 028 121 189 64
Nicaragua Dec 2000 Jan 2004 4 500 1 928 192 209 92
Niger Dec 2000 Apr 2004 1 190 1 063 66 50 132
Rwanda Dec 2000 Apr 2005 1 316 523 46 97 47
São Tomé and Príncipe Dec 2000 Mar 2007 263 64 6.5 6 102
Senegal Jun 2000 Apr 2004 850 2 471 47 164 29
Sierra Leone Mar 2002 Dec 2006 994 665 47 23 203
Uganda Feb 2000 May 2000 1 950 3 522 81 183 44
United Republic of Tanzania Apr 2000 Nov 2001 3 000 3 843 118 256 46
Zambia Dec 2000 Apr 2005 3 900 2 783 151 211 72
Total 45 344 43 285

HIPC, Heavily Indebted Poor Countries; MDRI, Multilateral Debt Relief Initiative.a Committed debt relief under the assumption of full participation of creditors.b In total, 41 countries are currently eligible for the HIPC Initiative. The table indicates the 23 countries at completion point. Ten countries receive interim debt relief as they were not at completion point at time of publication. Decision point dates are in parentheses: Afghanistan (July 2007), Burundi (August 2005), the Central African Republic (September 2007), Chad (May 2001), the Congo (March 2006), the Democratic Republic of Congo (July 2003), Guinea (December 2000), Guinea-Bissau (December 2000), Haiti (November 2006) and Liberia (March 2008). Eight countries are potentially eligible but have not yet qualified (i.e. pre-decision point countries): Comoros, Côte d’Ivoire, Eritrea, Kyrgyzstan, Nepal, Somalia, the Sudan and Togo.c Includes assistance under the original and the enhanced framework and topping up at completion point.d Refers to the average annual nominal HIPC relief in the first 10 years following the completion point as indicated in the countries’ completion point document.e Public health spending refers to general government expenditure on health (in 2005), i.e. the sum of outlays by government entities to purchase health-care services and goods, notably by ministries of health and social security agencies. Besides domestic funds it also includes external resources (mainly as grants passing through the government or loans channelled through the national budget).10

[an error occurred while processing this directive]