Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies
Background Health security funding is intended to improve capacities for preventing, detecting, and responding to public health emergencies. Recent years have witnessed substantial increases in the amounts of donor financial assistance to health security from countries, philanthropies, and other de...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-10-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4115_540f1e514a7001d54940e206b72a0eda.pdf |
| _version_ | 1811158735751479296 |
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| author | Matthew R. Boyce Mark J. Meyer John D. Kraemer Rebecca Katz |
| author_facet | Matthew R. Boyce Mark J. Meyer John D. Kraemer Rebecca Katz |
| author_sort | Matthew R. Boyce |
| collection | DOAJ |
| description | Background Health security funding is intended to improve capacities for preventing, detecting, and responding to public health emergencies. Recent years have witnessed substantial increases in the amounts of donor financial assistance to health security from countries, philanthropies, and other development partners. To date, no work has examined the effects of assistance on health security capacity development over time. This paper presents an analysis of the timelagged effects of assistance for health security (AHS) on levels of capacity. Methods We collected publicly available health security assessment scores published between 2010 and 2019 and data relating to financial AHS. Using validated methods, we rescaled assessment scores on analogous scales to enable comparison and binned them in quartiles. We then used a distributed lag model (DLM) in a Bayesian ordinal regression framework to assess the effects of AHS on capacity development over time. Results Strong evidence exists for associations between financial assistance and select capacities on a variety of lagged time intervals. Financial assistance had positive effects on zoonotic disease capacities in the year it was disbursed, and positive effects on legislation, laboratory, workforce, and risk communication capacities one year after disbursal. Financial assistance had negative effects on laboratory and emergency response capacities two years after it was disbursed. Financial assistance did not have measurable effects on coordination, antimicrobial resistance (AMR), food safety, biosafety, surveillance, or response preparedness capacities over the timeframe considered. Conclusion Financial AHS is associated with positive effects for several core health security capacities. However, for the majority of capacities, levels of funding were not significantly associated with capacity level, though we cannot fully exclude endogeneity. Future work should continue to investigate these relationships in different contexts and examine other factors that may contribute to capacity development. |
| first_indexed | 2024-04-10T05:29:12Z |
| format | Article |
| id | doaj.art-86eff0a9351441f2baff5c4c791fc023 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:12Z |
| publishDate | 2022-10-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-86eff0a9351441f2baff5c4c791fc0232023-03-07T09:11:45ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-10-0111102054206110.34172/ijhpm.2021.1204115Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health EmergenciesMatthew R. Boyce0Mark J. Meyer1John D. Kraemer2Rebecca Katz3Center for Global Health Science & Security, Georgetown University Medical Center, Georgetown University, Washington, DC, USADepartment of Mathematics and Statistics, Georgetown University, Washington, DC, USADepartment of Health Systems Administration, Georgetown University, Washington, DC, USACenter for Global Health Science & Security, Georgetown University Medical Center, Georgetown University, Washington, DC, USABackground Health security funding is intended to improve capacities for preventing, detecting, and responding to public health emergencies. Recent years have witnessed substantial increases in the amounts of donor financial assistance to health security from countries, philanthropies, and other development partners. To date, no work has examined the effects of assistance on health security capacity development over time. This paper presents an analysis of the timelagged effects of assistance for health security (AHS) on levels of capacity. Methods We collected publicly available health security assessment scores published between 2010 and 2019 and data relating to financial AHS. Using validated methods, we rescaled assessment scores on analogous scales to enable comparison and binned them in quartiles. We then used a distributed lag model (DLM) in a Bayesian ordinal regression framework to assess the effects of AHS on capacity development over time. Results Strong evidence exists for associations between financial assistance and select capacities on a variety of lagged time intervals. Financial assistance had positive effects on zoonotic disease capacities in the year it was disbursed, and positive effects on legislation, laboratory, workforce, and risk communication capacities one year after disbursal. Financial assistance had negative effects on laboratory and emergency response capacities two years after it was disbursed. Financial assistance did not have measurable effects on coordination, antimicrobial resistance (AMR), food safety, biosafety, surveillance, or response preparedness capacities over the timeframe considered. Conclusion Financial AHS is associated with positive effects for several core health security capacities. However, for the majority of capacities, levels of funding were not significantly associated with capacity level, though we cannot fully exclude endogeneity. Future work should continue to investigate these relationships in different contexts and examine other factors that may contribute to capacity development.https://www.ijhpm.com/article_4115_540f1e514a7001d54940e206b72a0eda.pdfcapacity developmentfinancingglobal healthhealth policyhealth securityhealth system strengthening |
| spellingShingle | Matthew R. Boyce Mark J. Meyer John D. Kraemer Rebecca Katz Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies International Journal of Health Policy and Management capacity development financing global health health policy health security health system strengthening |
| title | Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies |
| title_full | Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies |
| title_fullStr | Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies |
| title_full_unstemmed | Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies |
| title_short | Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies |
| title_sort | financial assistance for health security effects of international financial assistance on capacities for preventing detecting and responding to public health emergencies |
| topic | capacity development financing global health health policy health security health system strengthening |
| url | https://www.ijhpm.com/article_4115_540f1e514a7001d54940e206b72a0eda.pdf |
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