Responding to aid volatility: government spending on district health care in Zambia 2006-2017.

ABSTRACT: Background: A corruption event in 2009 led to changes in how donors supported the Zambian health system. Donor funding was withdrawn from the district basket mechanism, originally designed to pool donor and government financing for primary care. The withdrawal of these funds from the pooled financing mechanism raised questions from Government and donors regarding the impact on primary care financing during this period of aid volatility.Objectives: To examine the budgets and actual expenditure allocated from central Government to the district level, for health, in Zambia from 2006 to 2017 and determine trends in funding for primary care.Methods: Financial data were extracted from Government documents and adjusted for inflation. Budget and expenditure for the district le

SUBMITTER: Jackson A 

PROVIDER: S-EPMC7048228 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature