WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Regional consultation meeting Harmonization and Alignment of Cooperation in Middle-income Countries Dr. Juan Manuel Sotelo Pan American Health Organization (PAHO/WHO) Integrated health services networks and vertical programs: Maximizing synergies for collaborative work Cuzco, Peru November 2009

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Actors in International Cooperation on Health GOVERNMENTAL ASSISTANCE NON-GOVERNMENTAL ASSISTANCE OFFICIAL AGENCY Bilateral Path

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships ODA of OECD members, Source: OECD database ODE as % of GDP

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships ODA of OECD members, ODA as % of GDP Source: OECD database

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships ODA as % of GDP ODA of OECD members, Source: OECD database

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Total ODA ODA as % of GDP ODA of OECD members, Source: OECD database

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Total ODA ODA as % of GDP ODA of OECD members, Source: OECD database

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Increase required to achieve goals by 2010 ODA as % of GNI Total ODA ODA of OECD members, Source: OECD database

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Latin America in the global context Latin America has lost a share of ODA. In the past two years, ODA to the region has registered the lowest levels of the decade as a percentage of total ODA to developing countries. In per capita terms, Latin America receives one-third of what Eastern Europe or sub-Saharan Africa receives. ODA by world region 2005 – AFRICA AMERICA ASIA EUROPE OCEANIA USD Million ODA to Latin America and the Caribbean in % Year %

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Latin America and the Caribbean, HDI 2007 Source: PAHO with data of UNDP

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Health aid, by source, 2007 Source Cooperation on health Channel Government 65.7% US$ 14,322 million Private sources 26.7% US$ 5,814 million Debt forgiveness 1.8% US$ 398 million Other and unclassified 5.8% US$ 1,253 million Bilateral agencies 34% US$ 7,398 million Development Banks 7.2% US$ 1,575 million UN agencies 14% US$ 3,059 million European Commission 2.4% US$ 521 million Global Partnerships on Health 12.5% US$ 2,718 million Philanthropic foundations 5.2% US$ 1,143 million NGOs 24.7% US$ 5,375 million International cooperation on health 100% US$º 21,788 million Source: Author, with Health Metrics and Evaluation data, University of Washington.

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Changes in international health aid, , LAC Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington USD Million

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Health aid by subregion in Latin America and the Caribbean, Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington USD Million Caribbean MERCOSUR Andean Central America

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Health aid by subregion in Latin America and the Caribbean, Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington Biennia USD Million Colombia Bolivia Peru Ecuador Chile

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington USD Millilon Nicaragua Honduras Guatemala Dominican Republic El Salvador

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington USD Million Argentina Brazil Paraguay Uruguay Venezuela

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington USD Million Guyana Cuba Jamaica Suriname St. Helena Belize

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Health aid in Latin American and Caribbean countries, 2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships Per capita health aid in Latin American and Caribbean countries, 2007 Source: PAHO with data from the Institute for Health Metrics and Evaluation. University of Washington

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships What do we mean by “aid effectiveness”?

WORLD CRISIS : Its impact on health cooperation External relations, mobilization of resources, and partnerships