Abstract

In recent years, donors have committed substantial additional resources towards scaling up efforts to meet the health related Millennium Development Goals. With this additional funding there is also growing consideration about the effectiveness and impact of the institutions, systems and tools used to structure and deliver aid – the aid architecture in health. This key issues guide provides an overview of the current state of the aid architecture in the health sector. It shows that the proliferation of donors, along with changing approaches for delivering and managing aid, has contributed to the challenges that donors and recipient countries face towards improving the effectiveness and impact of aid. The guide identifies ways of tackling these challenges at international and country levels.