Microsoft Word 02Preface doc

4.2.3
 
Assistance provided to Communicable Diseases Control by Other Donors 
(1)
 
Type of Assistance 
There are three types of other donor assistance consisting of the pooling of capital in a 
common basket fund using the SWAps, earmarked finance assistance where separate 
deliberations are carried out with the MOH and regarding funds are directly provided, 
and direct earmarked assistance for donor led projects. 
Ghana is one of the most successful examples of SWAps for the planning and 
implementation of health sector programs.  The DFID, DANIDA, the World Bank, 
and various UN agencies have pooled their capital in a health fund and provided 
earmarked assistance.  In the area of overall development assistance, Multi-Donor 
Budgetary Support (MDBS) is rapidly becoming a preferred means of provision.    The 
EU and the Netherlands have shifted to the MDBS and by 2006 the DFID plans to 
completely shift over to MDBS. 
In contrast to the health fund and earmarked financial assistance that can be used for 
the MOH’s active operations to implement programs, MDBS must undergo budgetary 
negotiations between the Ministry of Finance and the MOH.    Consequently, there is a 
possibility that the health sector may be affected in terms of the budget, since donors 
are transferring regular financial assistance to MDBS. 
However, the GoG has left open the option of directly earmarked assistance by not 
limiting the assistance provided by assistance organizations to the health fund or 
earmarked financial assistance.  Presently, JICA and the USAID are the only two 
donors that carry out directly earmarked assistance.    Figure 4.3 shows the financial 
assistance schemes operated by the donor agencies. 
According to the MOH and GHS, they have shown understanding towards JICA’s 
directly earmarked assistance.    JICA has not being participating in the SWAps, which 
has no significant influence on relations between JICA and other donors.     
 
 
 
 
 

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