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The rhetoric of sector-wide approaches for health development

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  • Hill, Peter S.

Abstract

The past decade has witnessed an increasing concerns over the effectiveness of project-based development assistance and the promotion of sector-wide approaches (SWAps) to health as a means to increase donor collaboration, consolidate local management of resources and undertake the policy and systems reform necessary to achieve a greater impact on health issues. The concept has gained the support of both the World Bank and the World Health Organisation, as well as key bilateral donors, and dominates current initiatives in development assistance for health. This paper examines the proposal of SWAps as rhetoric, and seeks to understand how that rhetoric functions, despite the variable application of its constituent elements and the range of contexts in which it operates.

Suggested Citation

  • Hill, Peter S., 2002. "The rhetoric of sector-wide approaches for health development," Social Science & Medicine, Elsevier, vol. 54(11), pages 1725-1737, June.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:11:p:1725-1737
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    Citations

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    Cited by:

    1. Rohan Sweeney & Duncan Mortimer, 2016. "Has the Swap Influenced Aid Flows in the Health Sector?," Health Economics, John Wiley & Sons, Ltd., vol. 25(5), pages 559-577, May.
    2. Maame Esi Woode & Duncan Mortimer & Rohan Sweeney, 2021. "The impact of health sector‐wide approaches on aid effectiveness and infant mortality," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(5), pages 826-844, July.
    3. Fisher, Colleen & Hunt, Lynne & Adamsam, Rhonda & Thurston, Wilfreda E., 2007. "'Health's a difficult beast': The interrelationships between domestic violence, women's health and the health sector: An Australian case study," Social Science & Medicine, Elsevier, vol. 65(8), pages 1742-1750, October.
    4. Vaughn F. Graham, 2017. "Toward a Conceptual Expansion of Ownership and Post‐2015 Global Development Policy: Illustrations from the Jamaican Experience," Development Policy Review, Overseas Development Institute, vol. 35(3), pages 373-395, May.
    5. Thurston, Wilfreda E. & MacKean, Gail & Vollman, Ardene & Casebeer, Ann & Weber, Myron & Maloff, Bretta & Bader, Judy, 2005. "Public participation in regional health policy: a theoretical framework," Health Policy, Elsevier, vol. 73(3), pages 237-252, September.
    6. Sweeney, Rohan & Mortimer, Duncan & Johnston, David W., 2014. "Do Sector Wide Approaches for health aid delivery lead to ‘donor-flight’? A comparison of 46 low-income countries," Social Science & Medicine, Elsevier, vol. 105(C), pages 38-46.
    7. Sundewall, Jesper & Sahlin-Andersson, Kerstin, 2006. "Translations of health sector SWAps--A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh," Health Policy, Elsevier, vol. 76(3), pages 277-287, May.
    8. Rahman, Md Saifur & Giessen, Lukas, 2017. "Formal and Informal Interests of Donors to Allocate Aid: Spending Patterns of USAID, GIZ, and EU Forest Development Policy in Bangladesh," World Development, Elsevier, vol. 94(C), pages 250-267.
    9. Okiwelu, Tamunosa & Hussein, Julia & Adjei, Sam & Arhinful, Daniel & Armar-Klemesu, Margaret, 2007. "Safe motherhood in Ghana: Still on the agenda?," Health Policy, Elsevier, vol. 84(2-3), pages 359-367, December.

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