Picture credit: epSos.de, via Wikimedia Commons
Health and healthcare have historically been major targets for development aid spending by wealthy countries. Over the past 20 years this scenario has evolved as new donors have emerged, including large philanthropic foundations and several emerging economies. At the same time, long-standing donors from OECD countries have adopted ‘beyond aid’ agendas that deploy a wider range of instruments in pursuit of health and development.
We consider the scale and forms of the changes taking place, and the implications for how healthcare systems are organised and run. This has included recent work on the converging roles of high- and middle-income states as investors in overseas healthcare sectors, the growing reach of the financial services sector in these markets, and the shifting operations of international organisations seeking to accommodate these changes. We seek to interpret and explain these changes using concepts such as financialisation and state capitalism, and maintain close connections with the New Frontiers in International Development Finance network based at the University of Warwick.
On the ‘beyond aid’ transition:
- Hunter BM (Forthcoming). Investor states: Global health at the end of aid. Cambridge: Cambridge University Press
- Hunter BM and JD Shaffer. (2021). Human capital, risk and the World Bank’s reintermediation in global development (open access). Third World Quarterly, 43(1): 35-54
- Hunter BM and SF Murray (2019). Deconstructing the financialization of healthcare (open access). Development and Change, 50(5):1263-87
- Hunter BM and A Marriott (2018). “Development Finance Institutions: The (in)coherence of their investments in private healthcare companies”, in: The Reality of Aid International Coordinating Committee (eds.) Reality of Aid 2018 Full Report (open access). Quezon City: IBON.
- Hunter BM and SF Murray (2015). “Beyond aid” investments in private healthcare in developing countries (paywalled). BMJ (Commentary) 351: h3012
- Hunter BM, Bisht R and SF Murray (2022). Neoliberalisation enacted through development aid: the case of health vouchers in India (open access version available here) Critical Public Health, 32:2, 193-205
- Hunter, BM (2018) Brokerage in commercialised healthcare systems: A conceptual framework and empirical evidence from Uttar Pradesh (open access version available here). Social Science & Medicine, 202:128-135