Health

Contact //Tel: +61 2 6178 4000
Fax: +61 2 6178 4880 // Post: GPO Box 887, Canberra, ACT 2601, Australia
 
 

heading foldHow we are helping

Our Funding for 2011/12

$643.8 million

Health program

Priority Spend ($ million)
Total 643.8
Bilateral programs
See initiatives
339.4
Global programs
See initiatives
227.2
Regional programs
See initiatives
57.9
Other government departments 19.3

Australia's projected development assistance for 2012/13 is $612.4 million.

Saving lives: see our health initiatives

The Australian aid program is helping to save the lives of poor women and children and support large-scale disease prevention, including vaccination, and treatment. We work with national governments, civil society organisations and multilateral agencies to achieve this. Australian aid supports good quality and affordable health services and helps people in poor countries access the right services, with the right health professionals and the right supplies, at the right time. Australia is helping reduce maternal and child deaths, reduce communicable diseases such as malaria, and prevent non-communicable diseases such as diabetes.

Over the previous three years, Australia has provided $1.7 billion of overseas development assistance in health. In 2011–12, this investment meant that vaccinations were provided to more than two million children and skilled attendants attended over 230,000 births. More on results can be viewed on the ‘See our results’ tab above.

Following the Government’s announcement on 17 December 2012 to reprioritise resources within the aid budget, the 2012–13 revised budget estimate for the health program is $612.4 million. The new budget estimate for health reflects changes to global, bilateral and support programs including:

Global programs

Reduction of $10.12 million to the core funding of the Global Fund to Fight AIDS, Tuberculosis and Malaria, a reduction of $3 million to the core funding of the World Health Organization and a reduction of $1.8 million in funding to the Joint United Nations Program on HIV/AIDS (UNAIDS).

Support to programs

There has been a cessation of funding for the Harnessing Non-State Actors for Better Health for the Poor (HANSHEP) Secretariat of $180,000 and a reduction in funding of the health AusAID Development Research Award Scheme for 2012, resulting in a deferral of the program until 2013–14.

Australia expects to provide $612.4 million in development assistance for Health in 2012–13. Australia remains committed to delivering results and our development assistance is expected to have a resounding impact in future years. For example, in 2012–13 in Papua New Guinea, Australia will procure and distribute medical supply kits to more than 2,700 health facilities and will assist 70 new qualified midwives and 20 community health workers to graduate. Australia will support Indonesia’s efforts to reduce deaths from pregnancy complications and we will expand our assistance in the provision of HIV testing and treatment in Papua and West Papua, estimated to result in over 20,000 people receiving HIV treatment by 2016. In Fiji, we will deliver a safe motherhood program by increasing the number of first trimester check-ups and by upgrading sub-divisional hospitals to encourage a higher proportion of babies delivered at hospitals.

Saving lives

See our initiatives

Under the Comprehensive Aid Policy Framework, Australia has committed to help immunise 10 million children and enable one million births to be attended by a skilled attendant by 2015-16. Progress towards these results will be tracked and reported on an annual basis.

The aid program has already achieved good results in strengthening health systems, addressing communicable and non-communicable diseases and tackling emerging health threats.

This video shows how Australian aid is helping to improve the health of people throughout Asia, the Pacific and Sub-Saharan Africa.

 

For more examples of our health results, see the detailed pages on our bilateral health programs:

Aid program funding to health

Australia's development assistance for health
2011–12 by sector

Priority Spend ($ million)
Total 643.8
Bilateral programs
See initiatives
339.4
Global programs
See initiatives
227.2
Regional programs
See initiatives
57.9
Other government departments 19.3

 

Australia's development assistance for health ($ million)

Graph of Australian funding for health in 2008-09 to 2010-11. 

The graph above shows total aid program funding to health, 2008–09 to 2010-11.

The figures are:

2008–09: 420
2009–10: 510.4
2010–11: 552.3
2011–12: 643.8
2012–13 (projected): 612.4


 

Research overview

Good research can lead to positive change for the world’s poorest by enhancing the design and implementation of development policies and programs. That’s why AusAID is committed to an innovative research portfolio and funds research, including through:

  • competitive funding mechanisms (such as the Australian Development Research Awards)
  • research partnerships with different Australian, international and developing country research institutions
  • commissioning research to address a specific question or clearly defined research gap, and
  • one-off research grants, when an existing program of research is relevant to the Australian aid program.

More information on how AusAID funds research

As part of AusAID’s research program, we fund research into health-related aspects of development, such as disease prevention and control, health systems and health financing.

In An Effective Aid Program for Australia, the Australian Government signaled its support (in principle) for ‘more aid funding for research by Australian and international institutions, particularly in medicine’. AusAID's Medical Research Strategy guides our investment in medical research.

Improving public health laws in the Pacific

Two women prepare fresh food

Food preparation for a nutritious lunch at Wan Smolbag, Vanuatu. Photo by Rob Maccoll.

Public health laws are an important part of the social and legal infrastructure supporting the health system of a nation state. These laws set out how health programs are run, health promotion is supported, diseases are managed, data are collected, health emergencies are addressed, and the responsibilities of individuals and groups.

Many countries in the Pacific currently have public health laws which are out-dated, do not take account of health challenges and social trends, or do not support a modern approach to public health governance. While Pacific public health laws have been amended from time to time, they have not been comprehensively reviewed, and most countries do not have the resourcing or specialist expertise to do so.

Model Public Health Law for the Pacific examined existing Pacific public health laws and consulted with countries to understand how the laws are working. The project reported on the best practice approaches to develop public health laws, and how to apply this in the Pacific, and culminated in Public Health law in the Pacific—A Reviewers Companion (PDF, external website). The Reviewers Companion is a reference document for those who work with the legislation, regulation and enforcement of health policies. It details a series of legislative approaches which can be used in whole or in part to review public health legislation. These approaches were developed from research into existing public health laws and those who work with them, constitutional principles, international obligations, and customary law.

This project was recently completed, with AusAID support, by researchers at La Trobe University, working in collaboration with partner country governments in the Pacific and the World Health Organisation Western Pacific Regional Office. The development of the Reviewers Companion has stimulated the review of the Public Health Act in Vanuatu, and has also been provided to  
Ministries of Health outside the Pacific.

Investment Case for Maternal Newborn and Child Health in Asia and the Pacific

Smiling mother and baby

Australia's support to Indonesia is helping to save the lives of pregnant women and their babies by reducing maternal and infant mortality. Photo: AusAID

Governments require good quality evidence and information to design effective policies and programs. By strengthening health systems governments can deliver better and more equitable maternal and child health outcomes critical to achieving MDGs 4 (child mortality) and 5 (maternal health). One way that AusAID is supporting partner governments to meet this need for information is through funding to help them undertake an assessment of how their health budgets should be invested to get the best possible health outcomes.

The primary objective of this approach is to provide policymakers and planners with the evidence to:

  • assess the current level and coverage of health services and outcomes for women and children
  • identify the constraints hampering the scale-up of cost-effective maternal newborn and child health interventions
  • design realistic strategies to address those constraints
  • estimate the expected improvements and costs associated with the strategies proposed.

In 2007 under Australian leadership a network of key development partners was established to develop a regional investment case for Asia and the Pacific. In 2009, AusAID and the Bill and Melinda Gates Foundation agreed to fund national (and sub-national) level investment cases on health services for women and children.  As part of this initiative, a University of Queensland-led consortium has worked with planners and policymakers in Asia (Indonesia, Nepal, the Philippines, and the State of Orissa in India) at subnational levels to formulate and cost strategies to scale up maternal, newborn and child health services in disadvantaged communities. These have influenced local policy decisions about allocating resources to improve the health of women and children.

The current phase of this work (funded for two years from 2010-11 to 2012-13) will support a partnership between the University of Queensland-led consortium, and UNICEF, to increase the reach and quality of this important work in the region.

Strengthening a public/private health system

When the Health Policy Health Finance (HPHF) Hub began working in Indonesia with in-country partner the Centre for Health Service Management at the Universitas Gadjah Mada (UGM), access to health services was increasingly becoming a luxury for those who could afford it.

This was primarily due to a rapidly growing private health sector and increasingly commercialised public health, as well as poor distribution of specialist doctors. 

This work identified a need for more government support for not-for-profit hospitals and a more active role for professional health bodies and the private sector in co-regulation and in encouraging more even distribution of doctors across the region.

This provided new policy options for Indonesia’s health policy-makers to improve distribution of specialist doctors.

The Hospital Law of 2009 paved the way for improved government support of NFP hospitals. The HPHF Hub and UGM are now working together to explore the development of regulations for implementing these provisions.

Global health statistics

Under-five mortality rate (2011)               51 per 1,000 live births1
Total number of under-five deaths (2011) 6.9 million1
Proportion of under-five deaths in first month of life (2011) 40 per cent1
Maternal mortality ratio in developing countries (2011) 240 deaths per 100,000 live births2
Estimated number of people living with HIV globally (2011) 34 million3
Estimated number of new HIV infections globally (2011) 2.5 million3
Estimated number of deaths from AIDS-related causes globally (2011) 1.7 million4
Estimated number of people living with HIV in Asia and the Pacific (2011) 4.883 million5
Estimated number of malaria cases (2010) 219 million7
Estimated number of malaria deaths (2010) 660,0007
Estimated number of tuberculosis cases (2011) 8.7 million8
Number of tuberculosis deaths (2011) 1.4 million <sup>7</sup>
Number of deaths from non-communicable diseases (such as cardiovascular diseases, respiratory diseases, cancer) in low and middle-income countries (2008) 29 million8
Number of people who are visually impaired or blind (2011) 285 million9

Data and information sources (exernal websites)

1 UNICEF, 2012 Child Mortality Estimates Report 2011, pp. 4 – 15)
2 United Nations, MDG Report 2012 (Statistical Annex), p10
3 UNAIDS, 2012 Global Report, p8
4 UNAIDS, 2012 Global Report, p12
5 UNAIDS, 2012 Global Report, p14
6 World Malaria Report 2012, pxiii
7 WHO, Tuberculosis , Fact Sheet, No. 104
8 WHO, Global Status Report on Non-communicable Diseases 2010, p.9
9 WHO, Visual Impairment and Blindness, Fact Sheet No. 282

 

 
 

heading foldWhy we give aid

quote

Good health is a human right and a means to achieving other development goals. However, many countries remain off-track to meet the health Millennium Development Goals and the poorest and most vulnerable people continue to bear the greatest burden of ill-health. Australia can, and does, make a difference to the health of poor and vulnerable people, particularly in Asia and the Pacific region. 

Find out more about why we give aid for health

 
 

heading foldHow we give aid

Australia’s investment in health is based on what works, is effective and achieves results. We provide a mix of support, focussing on working with national governments to fund health systems and services, in addition to supporting multilateral health agencies and civil society organisations to expand the reach and impact of our aid. We focus our health assistance on Asia and the Pacific region, but also provide targeted support to East Africa. 

Find out more about how we give aid for health

 
 

heading foldProgress Against MDGs

  • Reduce child mortality
  • Improve maternal health
  • Combat HIV/AIDS, malaria and other diseases
 
 

Last reviewed: 10 April, 2013