Quotation Barrenho, Eliana, Miraldo, Marisa, Shaikh, Mujaheed, Atun, Rifat. 2017. Vertical and horizontal equity of funding for malaria control: a global multisource funding analysis for 2006–2010. BMJ Global Health. 2 (4), 1-7.


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Abstract

International and domestic funding for malaria is critically important to achieve the Sustainable Development Goals. Its equitable distribution is key in ensuring that the available, scarce, resources are deployed efficiently for improved progress and a sustained response that enables eradication. We used concentration curves and concentration indices to assess inequalities in malaria funding by different donors across countries, measuring both horizontal and vertical equity. Horizontal equity assesses whether funding is distributed in proportion to health needs, whereas vertical equity examines whether unequal economic needs are addressed by appropriately unequal funding. We computed the Health Inequity Index and the Kakwani Index to assess the former and the latter, respectively. We used data from the World Bank, Global Fund, Unicef, President’s Malaria Initiative and the Malaria Atlas Project to assess the distribution of funding against need for 94 countries. National gross domestic product per capita was used as a proxy for economic need and ‘population-at-risk’ for health need. The level and direction of inequity varies across funding sources. Unicef and the President’s Malaria Initiative were the most horizontally inequitable (pro-poor). Inequity as shown by the Health Inequity Index for Unicef decreased from −0.40 (P<0.05) in 2006 to −0.25 (P<0.10) in 2008, and increased again to −0.58 (P<0.01) in 2009. For President’s Malaria Initiative, it increased from −0.19 (P>0.10) in 2006 to −0.38 (P<0.05) in 2008, and decreased to −0.36 (P<0.10) in 2010. Domestic funding was inequitable (pro-rich) with inequity increasing from 0.28 (P<0.01) in 2006 to 0.39 (P<0.01) in 2009, and then decreasing to 0.22 (P<0.10) in 2010. Funding from the World Bank and the Global Fund was distributed proportionally according to need.

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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal BMJ Global Health
Citation Index SSCI
Language English
Title Vertical and horizontal equity of funding for malaria control: a global multisource funding analysis for 2006–2010
Volume 2
Number 4
Year 2017
Page from 1
Page to 7
Reviewed? Y
URL http://gh.bmj.com/content/bmjgh/2/4/e000496.full.pdf
DOI http://dx.doi.org/10.1136/bmjgh-2017-000496
Open Access N

Associations

People
Shaikh, Mujaheed (Former researcher)
External
Atun, Rifat (Harvard TH Chan School of Public Health, Harvard University, United States/USA)
Barrenho, Eliana (Centre for Health Economics and Policy Innovation, Imperial College Business School, Imperial College London, United Kingdom)
Miraldo, Marisa (Centre for Health Economics and Policy Innovation, Imperial College Business School, Imperial College London, United Kingdom)
Organization
Health Economics and Policy Group AB (Details)
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