Folkesundhed i Afrika? Donorerne gør mere – det gør regeringerne ikke

Forfatter billede

Bistandsdonorerne giver mere til sundhed, mens Afrikas regeringer næsten giver det samme som for 9 år siden. Det fremgår af en ny rapport.

Fra 2001 til 2007 blev de nationale udgifter til sundhedssystemet kun øget med 0,3 pct. I samme periode øgede donorerne deres bidrag fra 15,3 til 20,1 pct.

IRIN-News har udvalgt følgende highlights fra rapporten:

– Donors covered 43 percent of health care expenses in Ethiopia in 2006, up four times from 2002. Over the same period donor backing for health care in Benin dropped 10 percent to 13,4 percent

– Donors spent 43,74 US dollar per person in official development assistance to health (DAH) in Namibia in 2007 versus 65 US cents in Mauritius

– DAH increased the most in East Africa from 2002 to 2006 (19,6 to 28,4 percent), versus 22 percent in West and Central Africa, 20,3 percent in Southern Africa and 11,5 percent in North Africa

– In 2007 half of African countries set aside at least 5 percent of their national income for health care

– In 2007 seven African countries spent less than 5 percent of total budgets on health care, compared to eight in 2001

– Patients in Africa’s lowest income countries paid out-of-pocket for more than half their health care, with governments pitching in 46 percent

– By 2007 four countries had met or all but met the Abuja Declaration goal of spending 15 percent of annual budgets on health: Burkina Faso (14,8 percent), Botswana (17,3 percent), Djibouti (15,1 percent) and Rwanda (18,8 percent). Liberia and Malawi had exceeded the target in 2006 at 16,4 and 18 percent, respectively, but then dropped to 6,4 and 12,1 percent in 2007

– Botswana and Rwanda had the biggest jumps in health care spending as a percentage of overall expenses from 1999 to 2007 – 8,9 and 9,7 percent, respectively, while Ghana and Benin had the largest drops – 6,1 and 3,6 percent

– Nigeria spent 3,5 percent of its 2007 budget on health care, a nearly 2-percent drop since 1999. The oil sector has accounted for more than 80 percent of government revenue, according to Extractive Industries Transparency Initiative

Læs videre på http://www.IRINnews.org/Report.aspx?ReportId=88735