Michaud C, Murray C J
Center for Population and Development Studies, Harvard University, Cambridge, MA 02138.
Bull World Health Organ. 1994;72(4):639-51.
This study, which was conducted for the World Bank's World development report 1993: investing in health, provides an objective analysis of the external assistance to the health sector by quantifying in detail the sources and recipients of such assistance in 1990, by analysing time trends for external assistance to the health sector over the last two decades, and, to the extent possible, by describing the allocation of resources to specific activities in the health sector. The main findings of the study are that total external assistance to the health sector in 1990 was US$ 4800 million, or only 2.9% of total health expenditures in developing countries. After stagnation in real terms during the first half of the 1980s, health sector assistance has been increasing since 1986. Despite their small volume, external assistance at the margins may play a critical role in capital investment, research and strategic planning. The study confirms prior findings that health status variables per se are not related to the amount of aid received. Comparing investments to the burden of disease shows tremendous differences in the funding for different health problems. A number of conditions are comparatively under-financed, particularly noncommunicable diseases and injuries.
本研究是为世界银行《1993年世界发展报告：投资于健康》开展的，通过详细量化1990年此类援助的来源和接受方，分析过去二十年中对卫生部门外部援助的时间趋势，并尽可能描述卫生部门特定活动的资源分配情况，对卫生部门的外部援助进行了客观分析。该研究的主要发现是，1990年对卫生部门的外部援助总额为48亿美元，仅占发展中国家卫生总支出的2.9%。在20世纪80年代上半叶实际停滞之后，自1986年以来对卫生部门的援助一直在增加。尽管规模较小，但边际外部援助可能在资本投资、研究和战略规划中发挥关键作用。该研究证实了先前的发现，即健康状况变量本身与所获援助金额无关。将投资与疾病负担进行比较表明，不同健康问题的资金存在巨大差异。一些疾病的资金相对不足，特别是非传染性疾病和伤害。
