The University of Sheffield
Department of Politics

PhD Students - Amy Barnes

Details

email : a.barnes@sheffield.ac.uk

Thesis Title: The delivery and management of aid for health in Zambia (working title)

CASE Partner: Harewelle International

Start Year: 2007

Supervisors

Garrett Brown

Graham Harrison

Research Topic

Each year, billions of dollars of aid is provided to the health sector of low income countries. However, there is still considerable debate among donors, health professionals, recipient governments, management experts and various watchdog NGO´s as to the most effective to deliver and manage donor funds for health.

The central question this study seeks to answer is: "How do different mechanisms for delivering and managing aid affect resource use in the health sector?" Given the recognised importance of the country-context in shaping the aid environment, the thesis will focus on the health sector in one particular country – Zambia. In answering the main research question, the thesis will focus on three inter-related themes, around which the specific research questions are based: 1) partnerhsip; 2) ownership and capacity; and 3) sustainability.

Understanding Aid Delivery Mechanisms
1. What mechanisms are available to deliver and manage aid for health?
2. What are the theoretical justifications for the use of particular mechanisms?
3. What mechanisms are used to deliver and manage aid for health in Zambia?

Partnership
4. How do different delivery mechanisms affect partnerhsip between different actors in the Zambian health sector? To what extent do these mechanisms reflect or promote a `partnered´ way of working?

Ownership and Capacity
5. How do different mechanisms support recipients in assuming stronger responsibility and `ownership´ of development for health in Zambia? How do different delivery mechanisms act to help strengthen the institutional and individual capacities and management systems of recipients in Zambia to identify, design, monitor and coordinate their `own´ development for health?

Sustainability
6. What are the prospects for the long-term effectiveness of different mechanisms for delivering aid, in terms of their contribution to sustainable health outcomes in Zambia?

Policy Relevance
7. What lessons can be learnt from the research to contribute to a better understanding of how aid could more effectively be delivered for health in the future?

Keywords

partnership, health aid, development assistance, donor, global health initiatives, Global Fund, budget support, sector-wide approach, ownership

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