For countries that depend on aid for healthcare, the issues surrounding how the money is spent–and programs what it goes to–are complex and challenging. Laurie Garrett, Senior Fellow, Council on Foreign Relations, discusses the intersection of US interests in addressing specific health problems with recipient nations’ own desired areas of focus. In the case of aid-dependent nations, Garrett suggests, donor nations have a tendency to invest in overseas health programs that are popular among their taxpayers and ignore others that are less attractive to donor stakeholders but could be what developing nations truly need.
The Global Fund’s methods for addressing this dilemma are very different from those of, say, PEPFAR, a topic we’ve been exploring in a variety of ways.
Now, what happens if we set aside the country-level analysis and look at organizations instead. For organizations dependent on funding from foundations, individual donors, or other sources, how are the issues different?