oInternational financial and economic institutions
The World Bank
International monetary fund (IMF)
Poverty reduction and SWAps
The World Trade Organization
oAlso see Table 3-1 (pg 68-69)
-What political, economic, and ideological rationales guide their policies and
activities? (answer given below)
Bilateral Aid and Development Agency
-What motivates development assistance? Who benefits?
oMost high income countries maintain separate official development aid
organization to fund bilateral projects (ie. Those involving one donor and one
oThe greater part of official development assistance (ODA) comes from member of
the Organization of Economic Cooperation and Development (OECD)
-What are the respective roles of donors and recipients?
oThe donor countries provide fund to the recipient countries
oThe fund is used to improve health regulations
-What is the impact of development assistance on health?
oAssistance has helped countries to improve health but at the same time, usually
the countries take back the time to re-fund the money, the process takes long and
the money to be returned doubles, which is a good business for the donors.
What is (or should be) the Role of International Health Agencies and Other Actors?
-How is the international health field shaped by agencies, actors, and movements?
oUS$14 billion was spent in the global health arena in 2004
-What are the strengths and limitations of the approaches of key global health
oFew major health agencies r democratically run or representative, & they rarely
offer sustainable or reliable services
oPower is not shared equally among health actors
oThe biggest killers—diarrhea, repiratory disease, and heart disease—which have
complex social and economic rots, receive far less attention than a few cases of a
disease transmitted via air travel (SARS)
oCuz donor agencies follow corporate-style governance objectives that prioritize
short-term, efficient, activities to demonstrate success, they tend to favour