Bulletin of the World Health Organization

Impossible to “wean” when more aid is needed

Gorik Ooms, Wim Van Damme

Volume 86, Number 11, November 2008, 893-894

Table 1. Impact of strategies proposed to reduce dependency on aid

Countries Justification of selection: external contribution to total health expenditure
GDP per capita, 20065 (US$)a Impact of second strategy proposed
Impact of third strategy proposed
Current situation
20043 (%) 20053 (%) Military expenditure pp/yr, 20064 (% of GDP) Military expenditure pp/yr, 2005 (US$)a Budget available pp/yr (US$)a,b Government revenue excluding grants, 20055 (% of GDP) Budget available pp/yr (US$)a,c Total health expenditure pp/yr, 20053 (US$)a
Liberia 33.2 41.2 126.0 1.3 1.6 0.0 18.6 0.0 10.0
Madagascar 42.2 46.1 278.0 1.0 2.8 0.0 11.3 1.5 9.0
Malawi 59.4 61.2 157.0 1.3 2.0 0.0 17.5 0.0 19.0
Mozambique 50.2 66.5 344.0 0.8 2.8 0.0 15.9 0.0 14.0
Rwanda 35.9 43.9 268.0 2.9 7.8 0.0 12.9 0.8 19.0
Sao Tome and Principe 50.8 49.9 698.0 0.8 5.6 0.0 21.3 0.0 49.0
Sierra Leone 31.9 41.0 232.0 2.3 5.3 0.0 11.8 1.1 8.0
Zambia 34.0 40.5 366.0 1.8 6.6 0.0 16.9 0.0 36.0

GDP, gross domestic product; pp/py, per person per year.a US$ amounts use average exchange rate.b If military expenditure were reduced to US$ 16 per person per year and if 15% of the reduced expenditure were allocated to health.c If government revenue increased to 15% of GDP and if 15% of the increase was allocated to health.

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