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The Fungibility of Health Aid: Reconsidering the Reconsidered

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  • Joseph L. Dieleman
  • Casey M. Graves
  • Michael Hanlon

Abstract

Lu et al. found that health aid displaces domestically-raised government health expenditure, which renders health aid at least partially fungible. These findings are questioned in The Fungibility of Health Aid Reconsidered . Van de Sijpe's emphasis on disaggregating on- and off-budget aid is a valid contribution, although his empirical conclusions are overstated. We re-evaluate the data he criticises and find they sufficiently capture on-budget aid. To re-measure health aid fungibility, we update the Lu et al data, adding 23 countries and four years of data. Despite the confidence we have in these data, we employ two estimation specifications, each of which addresses the measurement error discussed by Van de Sijpe. The extended data and alternative methods show that development assistance for health channelled to governments remains significantly fungible.

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  • Joseph L. Dieleman & Casey M. Graves & Michael Hanlon, 2013. "The Fungibility of Health Aid: Reconsidering the Reconsidered," Journal of Development Studies, Taylor & Francis Journals, vol. 49(12), pages 1755-1762, December.
    • Handle: RePEc:taf:jdevst:v:49:y:2013:i:12:p:1755-1762
    DOI: 10.1080/00220388.2013.844921
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    Cited by:

    1. Fischer, A.M., 2017. "Dilemmas of externally financing domestic expenditures: Rethinking the political economy of aid and social protection through the monetary transformation dilemma," ISS Working Papers - General Series 629, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    2. Dierk Herzer, 2019. "The long-run effect of aid on health: evidence from panel cointegration analysis," Applied Economics, Taylor & Francis Journals, vol. 51(12), pages 1319-1338, March.
    3. Kornher, Lukas & Kubik, Zaneta & Chichaibelu, Bezawit Beyene & Torero, Maximo, 2021. "The Aid–Nutrition Link: Can Targeted Development Assistance to the Agricultural Sector Reduce Hunger?," 2021 Conference, August 17-31, 2021, Virtual 315179, International Association of Agricultural Economists.
    4. Gabani, Jacopo & Suhrcke, Marc & Neelsen, Sven & Eozenou, Patrick Hoang-Vu & Smitz, Marc-Francois, 2024. "Does health aid matter to financial risk protection? A regression analysis across 159 household surveys, 2000–2016," Social Science & Medicine, Elsevier, vol. 356(C).
    5. Brice Kamguia & Sosson Tadadjeu & Clovis Miamo & Henri Njangang, 2022. "Does foreign aid impede economic complexity in developing countries?," International Economics, CEPII research center, issue 169, pages 71-88.
    6. Rana, Zunera & Koch, Dirk-Jan, 2020. "Why fungibility of development aid can be good news: Pakistan case study," World Development Perspectives, Elsevier, vol. 20(C).
    7. Dreher, Axel & Lang, Valentin & Reinsberg, Bernhard, 2024. "Aid effectiveness and donor motives," World Development, Elsevier, vol. 176(C).
    8. Joseph L. Dieleman & Michael Hanlon, 2014. "Measuring The Displacement And Replacement Of Government Health Expenditure," Health Economics, John Wiley & Sons, Ltd., vol. 23(2), pages 129-140, February.
    9. Zunera Ahmad Rana & Dirk‐Jan Koch, 2022. "What happens to aid fungibility when the recipient government takes control? Effects of aid ownership in Rwanda," Development Policy Review, Overseas Development Institute, vol. 40(5), September.
    10. Ssozi, John & Amlani, Shirin, 2015. "The Effectiveness of Health Expenditure on the Proximate and Ultimate Goals of Healthcare in Sub-Saharan Africa," World Development, Elsevier, vol. 76(C), pages 165-179.
    11. Kornher, Lukas & Kubik, Zaneta & Chichaibelu, Bezawit Beyene, 2021. "The aid-nutrition link - Can targeted development assistance to the agricultural sector reduce hunger?," 61st Annual Conference, Berlin, Germany, September 22-24, 2021 317077, German Association of Agricultural Economists (GEWISOLA).
    12. Martínez Álvarez, Melisa & Borghi, Josephine & Acharya, Arnab & Vassall, Anna, 2016. "Is Development Assistance for Health fungible? Findings from a mixed methods case study in Tanzania," Social Science & Medicine, Elsevier, vol. 159(C), pages 161-169.
    13. Morrissey, Oliver, 2015. "Aid and Government Fiscal Behavior: Assessing Recent Evidence," World Development, Elsevier, vol. 69(C), pages 98-105.
    14. Kornher, Lukas & Kubik, Zaneta & Chichaibelu, Bezawit Beyene & Torero Cullen, Maximo, 2023. "The aid-nutrition link – Does targeted development assistance related to food systems matter?," World Development, Elsevier, vol. 162(C).
    15. John Ssozi & Edward Bbaale, 2019. "The Effects of the Catch-Up Mechanism on the Structural Transformation of Sub-Saharan Africa," Economies, MDPI, vol. 7(4), pages 1-27, November.

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    1. The fungibility of health aid reconsidered (JDS 2013) in ReplicationWiki
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