School of Economics, University of Queensland.
Soc Sci Med. 2011 Aug;73(3):351-5; discussion 356-8. doi: 10.1016/j.socscimed.2011.05.045.
In recent times there has been a sense that HIV/AIDS control has been attracting a significantly larger portion of donor health funding to the extent that it crowds out funding for other health concerns. Although there is no doubt that HIV/AIDS has absorbed a large share of development assistance for health (DAH), whether HIV/AIDS is actually diverting funding away from other health concerns has yet to be analyzed fully. To fill this vacuum, this study aims to test if a higher level of HIV/AIDS funding is related to a displacement in funding for other health concerns, and if yes, to quantify the magnitude of the displacement effect. Specifically, we consider whether HIV/AIDS DAH has displaced i) TB, ii) malaria iii) health sector and 'other' DAH in terms of the dollar amount received for aid. We consider this question within a regression framework controlling for time and recipient heterogeneity. We find displacement effects for malaria and health sector funding but not TB. In particular, the displacement effect for malaria is large and worrying.
近年来,人们越来越感觉到艾滋病毒/艾滋病的防治工作吸引了大量的捐助者卫生资金,以至于其他卫生问题的资金被排挤掉了。尽管毫无疑问,艾滋病毒/艾滋病已经在很大程度上吸收了发展援助卫生(DAH),但艾滋病毒/艾滋病是否真的将资金从其他卫生问题上转移出去,还有待充分分析。为了填补这一空白,本研究旨在检验更高水平的艾滋病毒/艾滋病供资是否与其他卫生问题的供资转移有关,如果是,还需要量化这种转移效应的程度。具体来说,我们考虑艾滋病毒/艾滋病发展援助资金是否在以下方面转移了资金:(i) 结核病、(ii) 疟疾、(iii) 卫生部门和“其他”发展援助资金,具体考虑援助资金的数额。我们在一个考虑时间和受援国异质性的回归框架内考虑这个问题。我们发现疟疾和卫生部门资金存在转移效应,但结核病不存在。特别是,疟疾的转移效应很大,令人担忧。