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The Politics of Blended Health Sector Financing in Uganda: Unpacking the World Bank’s Global Financing Facility

Tanzania Journal of Development Studies

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Title The Politics of Blended Health Sector Financing in Uganda: Unpacking the World Bank’s Global Financing Facility
 
Creator Kiiza, Julius; MAKERERE
Nassimbwa, Jacqueline; Makerere
Mulumba, Moses; Makerere
 
Subject —
 
Description This paper examines the politics of blended financing with reference to the WorldBank-inspired Global Financing Facility for maternal, newborn, child, andadolescent health (RMNCAH) in Uganda. Critical literature review wasconducted, followed by interviews with government technocrats, multilateralagencies (World Bank, WHO and UNICEF), civil society organizations andselected district health officers. Our main finding is twofold. Procedurally, blendedfinance takes the trodden path of developmental paternalism characterized byasymmetrical power relations between donors (who determine fundable priorities)and beneficiaries (whose inclusion hardly counts). Substantively, however,Uganda’s Investment Case uses concessional IDA credit worth US$110m, multidonortrust funds worth $30m and a SIDA grant of US$25m. This raises the totalto $165m, with a grant component of 33.33%, far above the 25% recommended bythe OECD. The emerging conclusion is simple: blended finance is imperfect, butis not ‘dead aid’ a la Dambisa Moyo (2010).
 
Publisher UNIVERSITY OF DAR ES SALAAM
 
Contributor —
 
Date 2019-09-11
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier https://journals.udsm.ac.tz/index.php/tjds/article/view/2951
 
Source Tanzania Journal of Development Studies; Vol 17, No 1 (2019): Tanzania Journal of Development Studies; 42-65
25916831
08569922
 
Language eng
 
Relation https://journals.udsm.ac.tz/index.php/tjds/article/view/2951/2957
 
Rights Copyright (c) 2019 Tanzania Journal of Development Studies
http://creativecommons.org/licenses/by-nc-nd/4.0