Schreeb J Von, Unge C, Brittain-Long R, Rosling H
Division of International Health IHCAR, Department of Public Health Sciences , Karolinska Institutet , Stockholm, Sweden.
Glob Public Health. 2008 Oct;3(4):440-447. doi: 10.1080/17441690801902627. Epub 2008 Oct 16.
Donors have agreed to fund humanitarian assistance according to needs. We studied if project applications to a major donor, and the subsequent funding decisions for humanitarian health projects contained needs assessment data. In 2003, a total of 258 million SEK (37 million USD) was allocated by Swedish International Development Cooperation Agency (Sida) to 38 humanitarian health projects. Only 14 applications (37%) had data on the size of the target population while reference to any quantified health needs was found in less than 30% of the funding decisions. In contrast to stated policy, interviews with staff at Sida revealed that needs assessment data had a limited role in the funding decisions, whereas the implementing capacity of the applying agency was of great importance. Our findings suggest that needs assessment data has a very limited role in the decision to fund while other, not clearly defined factors are more important.
捐赠方已同意根据需求为人道主义援助提供资金。我们研究了向一个主要捐赠方提交的项目申请以及随后对人道主义卫生项目的资金分配决定中是否包含需求评估数据。2003年，瑞典国际开发合作署（Sida）共拨款2.58亿瑞典克朗（3700万美元）用于38个人道主义卫生项目。只有14份申请（37%）有关于目标人群规模的数据，而在不到30%的资金分配决定中提到了任何量化的卫生需求。与既定政策相反，对Sida工作人员的访谈显示，需求评估数据在资金分配决定中作用有限，而申请机构的执行能力则非常重要。我们的研究结果表明，需求评估数据在资金资助决策中的作用非常有限，而其他未明确界定的因素更为重要。
