After the windfall

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Science  12 Sep 2014:
Vol. 345, Issue 6202, pp. 1258-1259
DOI: 10.1126/science.345.6202.1258


  • The end of the surge

    Aid for global health, by channel

  • The top 10 beneficiaries

    Of 140 low- and middle-income countries receiving public health aid in the years 2009 to 2011, populous India received the most: more than $2.5 billion. Of the remaining top 10 countries, eight are in Africa, and for all but one, the United States was the single biggest donor. Mexico received roughly $1 billion in assistance from the World Bank, thanks to a special project to strengthen the country's health and health insurance systems.

  • Winners and losers

    This map shows the biggest winners and losers in the global health bonanza, based on how many times the “expected” aid—based on disease burden and gross domestic product—they received in 2010. Botswana, Namibia, and South Africa, which all received major funding for HIV/AIDS, led the pack. Five countries—including Iran and Venezuela, which have strained relations with the United States—received less than one-fifth of the aid one would expect them to get. Many political, historical, and economic factors influence how much aid countries receive, says IHME researcher Joseph Dieleman; year-to-year variation also plays a role.

  • Skewed funding

    The diseases that cause the highest burden—expressed in disability-adjusted life years, or DALYs—don't get most of the international largesse. In 2010, HIV/AIDS received the biggest chunk; little aid went to noncommunicable diseases like diabetes, whose burden is large and growing.

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