Keeping a tight grip on the reins: donor control over aid coordination and management in Bangladesh

被引:39
作者
Buse, K [1 ]
机构
[1] Univ London London Sch Hyg & Trop Med, Hlth Policy Unit, London WC1E 7HT, England
关键词
D O I
10.1093/heapol/14.3.219
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A long-standing consensus that aid coordination should be owned by recipient authorities has been eclipsed by accord on the desirability of recipient management of aid along-side domestic resources, Nonetheless, in many low and lower-middle income countries, donors remain remarkably uncoordinated; where attempts at coordination are made, they are often donor-driven, and only a small proportion of aid is directly managed by recipients. This paper draws on evidence from an in-depth review of aid to the health sector in Bangladesh to analyze the systems by which external resources are managed. Based on interviews with key stakeholders, a questionnaire survey and analysis of documentary sources, the factors constraining the government from assuming a more active role in aid management are explored. The results suggest that donor perceptions of weak government capacity, inadequate accountability and compromised integrity only partially account for the propensity for donor leadership. Equally important is the consideration that aid coordination has a markedly political dimension. Stakeholders are well aware of the power, influence and leverage which aid coordination confers, an awareness which colours the desire of some stakeholders to lead aid coordination processes, and conditions the extent and manner by which others wish to be involved. It is argued that recipient management of external aid is dependent on major changes in the attitudes and behaviours of recipients and donors alike.
引用
收藏
页码:219 / 228
页数:10
相关论文
共 45 条
[1]   Aid coordination for health sector reform: A conceptual framework for analysis and assessment [J].
Buse, K ;
Walt, G .
HEALTH POLICY, 1996, 38 (03) :173-187
[2]  
BUSE K, UNPUB OPERATIONAL CO
[3]  
BUSE K, 1998, THESIS U LONDON
[4]  
BUSE K, 1997, AID COORDINATION HLT
[5]  
Cassels A., 1997, GUIDE SECTOR WIDE AP
[6]  
*COW, 1992, REV CONTR AUD GEN OF
[7]  
Faaland Just, 1976, BANGLADESH TEST CASE
[8]  
*GOV BANGL, 1989, PUBL ADM EFF STUD, V2
[9]  
*GOV BANGL, 1995, PUBL EXP REV HLTH PO
[10]  
*GOV BANGL, 1996, FLOW FUNDS HLTH POP