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Rethinking Health Sector Wide Approaches (SWAp’s) through the lens of aid effectiveness
By
Andrew McNee
Development Policy Blog
February 20, 2012
Health aid has been the subject of an intense analysis, contestation, and improvement effort over the past 20 years.
A key driver of this interest has been the rapid growth in the volume of health aid – increasing from $5.6b in 1990 to nearly $28b in 2011 – and the proliferation of agencies delivering health aid – over 40 bilateral donors, 26 UN agencies, 20 global and regional funds, and 90 global health initiatives.
A recurring theme in the analytical commentary of health aid over this period has been a constant search for improved effectiveness. The dominant discourse of the mid 1990’s was the inefficiency and detrimental impact of project modality. This laid the foundation for the development of a new, more hopeful approach to health aid delivery – that of Sector Wide Approaches (SWAps).
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