Publication Date


Document Type

Article Postprint


World Health; Developing Countries; Financing, Organized; International Cooperation; Health Policy; HIV; Acquired Immunodeficiency Syndrome; Africa South of the Sahara


Health Policy | International Economics | International Public Health | Life Sciences | Medicine and Health Sciences | Virus Diseases


Adding to official development assistance (ODA), private foundations have emerged as important donors to the global health agenda. Amid this increasing funder diversity and growing global health budgets, responsiveness to recipients’ needs is a central concern. Merging datasets on ODA flows in 2005–07, over 2,800 foundation grants, disease burden, and perceived priorities in 27 low- and middle-income countries, this study offers the first comprehensive national-level analysis of global health aid responsiveness. The analysis shows that national patterns of disease burden explain neither public nor private aid flows during this period. While ODA committed during these years was weakly yet significantly correlated with health priorities, private grants’ responsiveness was even weaker and did not achieve ODA significance levels either.

DOI of Published Version



Esser, Daniel, Keating Bench, Kara. Does Global Health Funding Respond to Recipients’ Needs? Comparing Public and Private Donors’ Allocations in 2005–2007. World Development. Article in Press, available online 28 January 2011, DOI 10.1016/j.worlddev.2010.12.005. Link to article on publisher's website

Journal/Book/Conference Title

World Development


This is the authors' final, peer-reviewed version of the article as prepared for publication in World Development.