• Alignment of aid with recipient country priorities

Alignment of aid with recipient country priorities

This Rwandan case study, produced in conjunction with the World Bank, was prepared for the High-Level Forum on the Health Millennium Development Goals (MDGs). It finds that the Rwandan government, through its Health Sector Strategic Plan (HSSP), has a clear strategy for scaling up evidence-based interventions. However, insufficient funding is a major constraint to the effectiveness of the approach: donor funds are perceived as being outside government control, and not reliable. The study tests the viability and added value of a World Bank proposal for a brokering service that would facilitate coherent donor support for government health strategies and expenditure plans.

The study concludes that additional resources will have greatest impact if they are focused on the HSSP and channeled through the Government budget. It notes that donor impediments to compliance with the new Rwanda aid policy need to be addressed, and will need sustained high level attention within each agency. The report recommends the process proposed by the Government of Rwanda, of asking each agency to undertake a self-assessment against the aid policy and to come up with a plan of action. Coordinating this would be a potential role for the proposed brokering service adapted from author

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