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A Trickle or a Flood?: The Effects of Donors' Disbursement Policies on Countries' Ability to Manage AIDS Funding

Mar 7, 2007

In the past few years, donor funding for HIV/AIDS has expanded rapidly. In a new paper from the HIV/AIDS Monitor, Michael Bernstein and Myra Sessions showed that the money provided by the world’s biggest AIDS funders – PEPFAR, the Global Fund, and the World Bank – can approach or even exceed budget levels for the whole health sector in recipient countries. Money provided by these funders flows through different mechanisms, at different times, to different recipients, raising the questions:

How have recipient countries been able to manage this money?
Are funders' disbursement policies helping or hurting governments' ability to use AIDS funding?

Michael Bernstein, former CGD program coordinator for the HIV/AIDS Monitor, explored these issues by focusing on the case of Mozambique. José Sulemane, Advisor to the Executive Director, International Monetary Fund and Former Budget Director for Mozambique and Jean-Jacques de St. Antoine, Lead Operations Officer, Human Development, East and Southern Africa Region, World Bank served as discussants.

The event was moderated by The event was moderated by Nandini Oomman, CGD senior program associate and project director for the HIV/AIDS Monitor Initiative.

Read the paper (PDF, 2.9MB)

DownloadMichael Bernstein's presentation (PDF, 1MB)