Year: 2013
Type: dissertation
Abstract: This thesis provides an unpacked analysis of health aid effectiveness using \nMozambique as a case-study. It comprises of three main papers of independent but \nrelated research. \nThe first paper adds to the literature by employing a new model to study the \nimpact of health aid on health outcomes. By taking into account the heterogeneity \nthat exists in the amount of health aid received between Mozambican provinces, a \nmultilevel model is specified. After recognizing significant variation of health \noutcomes between provinces, I found no statistical evidence that health aid was a \ncause of those variations. \nThe second paper provides a systematic analysis of donors’ health aid \ndisbursement decisions in-country. Using a game theoretic framework and \ngrounded in qualitative evidence from Mozambique, this paper shows that donors \nhave allocation tactics other than state-to-state aid to pursue their goals which are \ntranslated into opting for alternative channels of delivery. Simultaneously, this \nresearch acknowledges the non-passive role of the recipient country, i.e., donors’ \ndecisions of how to allocate aid are mediated by the recipient’s response to their \nactions. This chapter suggests that recipient-donors’ strategic interactions are \ncrucial to understand donors’ allocation behaviour and have direct consequences \nfor aid effectiveness. \nThe last paper explores empirically and theoretically aid coordination efforts of aid \nagencies. After providing an insight into the implementation of coordination in the \nhealth sector in Mozambique, this chapter explores why different agencies differ in \ntheir motivations to coordinate, based on the distinction between public and \nprivate good properties of coordination. Finally, using a collective action theory \nframework and aided by Schelling’s (1973) diagrams, this chapter illustrates why \nit is so hard to coordinate. My results show that individual incentives to coordinate \nare neither strong nor stable. Furthermore, the success of coordination depends, \ninter alia, on the number of agencies that perceive coordination as a public versus \nprivate good and the role and involvement of the lead donor and the recipient \ncountry.
Authors: Jalles d’Orey, María Ana
Language: English
Subfield: Development
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W765396332