Financial Assistance for Health Security: Effects of International Financial Assistance on Capacities for Preventing, Detecting, and Responding to Public Health Emergencies

• DOI: 10.34172/ijhpm.2021.120
• Publication Date: 2021-09-13T21:51:04Z
• Authors: Matthew R. Boyce; Mark J. Meyer; John D. Kraemer; Rebecca Katz
• Keywords: 1. No poverty; global health; health policy; Bayes Theorem; capacity development; Global Health; financing; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; health system strengthening; Humans; health security; Original Article; Public Health; Public aspects of medicine; RA1-1270; Emergencies; 10. No inequality

Background: Health security funding is intended to improve capacities for preventing, detecting, and responding public health emergencies. Recent years have witnessed substantial increases in the amounts of donor financial assistance from countries, philanthropies, other development partners. To date, no work has examined effects on capacity over time. This paper presents an analysis time-lagged (AHS) levels capacity. Methods: We collected publicly available assessment scores published between 2010 2019 data relating AHS. Using validated methods, we rescaled analogous scales enable comparison binned them quartiles. then used a distributed lag model (DLM) Bayesian ordinal regression framework assess AHS Results: Strong evidence exists associations select variety lagged time intervals. Financial had positive zoonotic disease year it was disbursed, legislation, laboratory, workforce, risk communication one after disbursal. negative laboratory emergency response two disbursed. did not measurable coordination, antimicrobial resistance (AMR), food safety, biosafety, surveillance, or preparedness timeframe considered. Conclusion: associated with several core capacities. However, majority capacities, were significantly level, though cannot fully exclude endogeneity. Future should continue investigate these relationships different contexts examine factors that may contribute development.