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- W2011122480 abstract "Chunling Lu and colleagues1Lu C Schneider MT Gubbins P Leach-Kemon K Jamison D Murray CJL Public financing of health in developing countries: a cross-national systematic analysis.Lancet. 2010; 375: 1375-1387Summary Full Text Full Text PDF PubMed Scopus (287) Google Scholar present evidence to suggest that governments that receive health aid tend to cut domestically financed health spending. However, this outcome might not be of as much concern as implied. First, a similar issue arose during the implementation of the Heavily Indebted Poor Countries Initiative launched jointly by the International Monetary Fund (IMF) and the World Bank in the 1990s. Fungibility in the use of resources released by debt relief was addressed by assessing whether expenditure composition was changing in favour of poverty-reducing spending (items such as health, education, agriculture, and rural development).2IMFWorld BankTracking of poverty-reducing public spending in heavily indebted poor countries (HIPCs).http://www.imf.org/external/np/hipc/2001/track/index.htmGoogle Scholar Data for 35 heavily indebted poor countries show that this spending both as a share of gross domestic product (GDP) and as a share of total spending increased at a faster pace than health spending alone (figure). Spending on areas not strictly health-related can still improve health outcomes. For example, improved literacy can increase preventive care, and better sanitation can limit the spread of disease.3Jha P Mills A Improving health outcomes of the poor: the report of Working Group 5 of the Commission on Macroeconomics and Health. World Health Organization, Geneva2002http://apps.who.int/bookorders/anglais/detart1.jsp?sesslan=1&codlan=1&codcol=85&codcch=3689Google Scholar Data for more than 80 countries show that education spending is twice the amount of health spending, and, during 1995–2007, it increased from 4·0% to 4·1% of GDP and from 16·0% to 17·0% of total spending. Second, the debate on additionality overlooks significant variation across countries and regions in spending efficiency; a higher level of spending does not always translate into significantly better outcomes. Third, health aid can promote macroeconomic stability, and thereby growth, by reducing a country's reliance on monetary financing of its budget deficit.4Gupta S Clements B Baldacci E Mulas-Granados C Fiscal policy, expenditure composition, and growth in low-income countries.J Int Money Finance. 2005; 24: 441-463Crossref Scopus (131) Google Scholar Higher growth expands the revenue base of a country, allowing it to spend more on priority areas. And, over time, growth itself has a favourable effect on social indicators.5Baldacci E Clements B Gupta S Cui L Social spending, human capital, and growth in developing countries.World Dev. 2008; 36: 1317-1341Crossref Scopus (182) Google Scholar I declare that I have no conflicts of interest." @default.
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- W2011122480 date "2010-08-01" @default.
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- W2011122480 title "Effect of development assistance on domestic health expenditures" @default.
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- W2011122480 doi "https://doi.org/10.1016/s0140-6736(10)61297-4" @default.
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