DESK REVIEWS | 02.02.09.01. Does the country receive a significant amount of donations from other countries or individuals located outside of the country to support healthcare system?

DESK REVIEW | 02.02.09.01. Does the country receive a significant amount of donations from other countries or individuals located outside of the country to support healthcare system?

No (Brazilian Ministry of Health, 2019i).

References:

Brazilian Ministry of Health. (2019i). Repasses financeiros.

No, there are no significant amounts of donations from outside Hong Kong to support the healthcare system.

External sources of financing, including donations, are considered to be the fourth largest source of health care funding in Indonesia. However, they are estimated to amount to only about between one to four per cent of the health budget (Mahendradhata et al., 2017, p.98; World Bank, 2016b, p.5).

The Asian Development Bank, followed by the World Bank, have been considered as the biggest donors for Indonesia in 2012. Donations from Japan were ranked on third place. Japan is considered to be the largest single donor country supporting Indonesia, accounting for 45% of the cumulative total of official development assistance (ODA) since 1960 (Japan International Cooperation Agency, 2018). Other significant donors include the Australian Agency for International Development, the Global Fund to fight Aids, Tuberculosis and Malaria, the Agence Française de Développement, the United States Agency for International Development, the United Nations, the Millenium Challenge Corporation, and the Federal Ministry for Economic Cooperation and Development. However, it is unclear what these donations were allocated for.

External health financing and technical assistance in Indonesia appears to be targeted at specific interventions, such as immunization, HIV, TB, and malaria. According to the Ministry of Health, external funding accounted for 60 per cent of spending on TB and 10-15 per cent on vaccination in 2015. Changes in funding over time may reflect the government’s ability to sustain programmes independently as well as donor interests (Mahendradhata et al., 2017, p.98; World Bank, 2016b, p.5).

References:

Japan International Cooperation Agency. (2018). Indonesia’ s Development and Japan’ s Cooperation : Building the Future Based on Trust (Issue April). https://www.jica.go.jp/publication/pamph/region/ku57pq00002izqzn-att/indonesia_development_en.pdf

Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., MArthias, T., Harimurti, P., & Prawira, J. (2017). The Republic of Indonesia Health System Review (Vol. 7, Issue 1). https://apps.who.int/iris/bitstream/handle/10665/254716/9789290225164-eng.pdf

World Bank. (2016b). Indonesia Health Financing System assessment: spend more, spend right & spend better. http://documents.worldbank.org/curated/en/453091479269158106/pdf/110298-REVISED-PUBLIC-HFSA-Nov17-LowRes.pdf

In October, 2019, ground was broken for the commencement of work to build a $43m US Children’s and Adolescent Hospital; a gift from the People’s Republic of China, set to be the largest facility of its kind in the Caribbean (JIS, 2019).

According to the Jamaica Government Information Service, between 2005 and 2017, Jamaica has been in partnership with countries such as Nigeria, Cuba, and China in order to help support the local healthcare system. For example, in 2005, under a technical cooperation agreement between the Government of Jamaica and the  Republic of Nigeria, the Clarendon health sector received allocation of the services of eight Nigerian nurses (JIS, 2005).

The health sector also benefited from an agreement between the Jamaican and Cuban Ministries of Health aimed at providing improved eye care (JIS, 2012). Over 66,000 Jamaicans received free eye screenings and over 9,000 patients received free eye surgeries under this arrangement. In addition, 45 nurses and 19 specialist doctors from Cuba were deployed throughout the island in 2012 (JIS, 2012). Jamaica extended its country-to-country partnership in eye care in 2017 with its adoption of the Chinese Bright Journey Medical Mission, which was expected to provide hundreds of Jamaicans with free cataract surgery that year (The Gleaner Jamaica, 2018).

COVID-19 and Cuba’s Donation:

As a symbol of the continued support from Cuba during times of crises, on March 21, 2020, 140 Cuban medical professionals arrived in Jamaica to support the island’s national response efforts for COVID-19. The team consisted of 90 specialist nurses, including for critical care, emergency, medical, surgical, and primary care, 46 doctors, including internists and haematologists and 4  therapists.

References:

Jamaica Information Service (JIS). (2005). Clarendon Health Sector Benefiting from the Services of Nigerian Nurses. Available from: https://jis.gov.jm/clarendon-health-sector-benefiting-from-the-services-of-nigerian-nurses/

Jamaica Information Service (JIS). (2012). Jamaica Grateful for Cuba’s Support on Healthcare. Available from: https://jis.gov.jm/jamaica-grateful-for-cubas-support-in-healthcare/

Jamaica Information Service. (2019). Ground Broken for Western Children and Adolescents Hospital. Available from: https://jis.gov.jm/ground-broken-for-western-children-and-adolescents-hospital/

The Gleaner Jamaica. (2018). Hundreds to get free cataract surgery from Chinese medical mission. Available from: https://jamaica-gleaner.com/article/news/20180731/hundreds-get-free-cataract-surgery-chinese-medical-mission

No, at the moment there are no significant donations from outside the country to support the healthcare system.

Yes, South Africa receives funds, skills, expertise, as well as technical support from organisations outside the country. For example, Pfizer (one of the world’s leading bio-pharmaceutical companies) funds independent, non-profit organisations in South Africa to support local programmes that improve patient outcomes. This company forms part of a consortium of 20 other private healthcare companies that has partnered with the South African government’s National Department of Health to support the implementation of priority healthcare programmes (see https://www.pfizer.co.za/Communities).