PMID- 18926279
OWN - NLM
STAT- MEDLINE
DCOM- 20081029
LR  - 20220331
IS  - 1474-547X (Electronic)
IS  - 0140-6736 (Linking)
VI  - 372
IP  - 9644
DP  - 2008 Sep 27
TI  - Misfinancing global health: a case for transparency in disbursements and decision 
      making.
PG  - 1185-91
LID - 10.1016/S0140-6736(08)61485-3 [doi]
AB  - To address the gap between health investments and financial flows worldwide, we 
      identified the patterns in allocation of funds by the four largest donors--ie, 
      the World Bank, Bill & Melinda Gates Foundation (BMGF), the US Government, and 
      the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria--in 2005. We created 
      a disbursement database with information gathered from the annual reports and 
      budgets. Funding per death varied widely according to type of disease--eg, 
      US$1029.10 for HIV/AIDS to $3.21 for non-communicable diseases. The World Bank, 
      US Government, and Global Fund provided more than 98% of their funds to service 
      delivery, whereas BMGF gave most of its funds to research. BMGF grants in 2005 
      were given largely to private research organisations, universities, and civil 
      societies in rich countries, whereas the US Government and Global Fund primarily 
      disbursed grants to sub-Saharan Africa. Publicly available data for global health 
      disbursements is incomplete and not standardised. Continued attention is needed 
      to develop country ownership, particularly in planning and priority setting.
FAU - Sridhar, Devi
AU  - Sridhar D
AD  - Department of Politics and International Relations, Oxford University, UK. 
      devi.sridhar@politics.ox.ac.uk
FAU - Batniji, Rajaie
AU  - Batniji R
LA  - eng
PT  - Journal Article
PL  - England
TA  - Lancet
JT  - Lancet (London, England)
JID - 2985213R
SB  - IM
MH  - Financing, Organized/*organization & administration
MH  - Global Health
MH  - Health Services/economics
MH  - Health Services Research/economics
MH  - Public Health/*economics
MH  - Resource Allocation/*organization & administration
EDAT- 2008/10/18 09:00
MHDA- 2008/10/31 09:00
CRDT- 2008/10/18 09:00
PHST- 2008/10/18 09:00 [pubmed]
PHST- 2008/10/31 09:00 [medline]
PHST- 2008/10/18 09:00 [entrez]
AID - S0140-6736(08)61485-3 [pii]
AID - 10.1016/S0140-6736(08)61485-3 [doi]
PST - ppublish
SO  - Lancet. 2008 Sep 27;372(9644):1185-91. doi: 10.1016/S0140-6736(08)61485-3.