A review of global mechanisms for tracking official development assistance for health in countries affected by armed conflict

BackgroundPoverty is highly concentrated in countries affected by armed conflict which are the furthest from reaching the Millennium Development Goals. Tracking aid patterns for health is crucial for improving the effectiveness of external aid to countries affected by armed conflict which tend to depend heavily upon external assistance and also have particularly acute health needs.ObjectivesThis study systematically assesses the reliability of global aid databases which are commonly used for tracking aid to countries affected by armed conflict. It offers analyses of two main databases – the Creditor Reporting System (CRS) and the Financial Tracking System (FTS) by reviewing the strengths and weaknesses of these data sources.MethodsA literature review was conducted to assess the existing evidence on aid tracking generally, and aid databases more broadly. Interviews were also conducted with experts involved in health resource tracking, donor agencies, and NGOs.ResultsDespite limitations, the CRS and FTS are appropriate for tracking aid for conflict-affected countries as they are comprehensive and allow analysis of different aid activities, countries, years, and donors.ConclusionsThe study offers recommendations on how CRS and FTS might be enhanced to try and improve the accountability and effectiveness of aid to countries affected by armed conflict.