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The New Philanthropy: Private Power in International Development Policy?

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This chapter examines the role and function of philanthropy in international development policy. Philanthropy has deep roots in development and its present influence is far from novel. Changes in the political economy of development finance, including growing private aid flows and continuing strain on the bilateral and multilateral aid systems, have increased its relative importance. Simultaneously, newly emerging foundations have financed novel institutional mechanisms for aid delivery in global health and transnational policy networks focussed on democratisation. These mechanisms have substantively shaped international development policy in key development sectors with important implications for the aid architecture by bringing in additional resources, ideas and approaches, while concurrently raising concerns, around the legitimacy and accountability of private actors.

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... Avoiding relegation to a bystander role will be key for LDC Governments (Moran and Stone, 2016). The consequences of this development are not unequivocally positive (Global Justice Now, 2016;Hay and Muller, 2014;Project Syndicate, 2019a). ...
... The Network is 'structured as both a non-profit organization (a 501c(3) under the US Internal Revenue Code) that makes grants much like a traditional foundation and a for-profit venture that invests in entities with a broad social mission' (Moran & Stone, 2016, p. 302). Thus, while it operates across a range of sectors in a similar manner to other foundations, it includes in its list of 'investees': investment firms, for-profit advocacy platforms (Moran & Stone, 2016), and financial technology or 'fintech ' start-ups (Aitken, 2017;Gabor & Brooks, 2017). ...
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This article argues that because much of the scholarship examining the influence of private foundations in global health governance is either neo-Gramscian or reflexively critical in orientation, undue attention has been paid to foundations' origins, affiliations and perceived biases towards bringing technological solutions to bear on problems with deep socio-political determinants, obscuring their chief functions as global governors while downplaying their agency. Such concerns are by no means new as private philanthropic influence in the governance of global health is not a new phenomenon. Drawing on examples from the Ford, Rockefeller and Bill and Melinda Gates Foundations' efforts to strengthen public health across the Global South, we argue that for over a century private foundations have been instrumental in the governance of collective action problems for two important reasons. Firstly, their stark illumination of state and market failures disproportionately affecting the world's marginalised and the potential of science-enabled innovation to address longstanding challenges has repeatedly generated the requisite political will to address, however imperfectly, global disparities. Secondly, foundations have ensured that functional governance mechanisms exist to provide public goods to the poor when changes to the structural fabric of the world order constrain the ability of other institutions mandated to perform this function.
Book
Private Actors in Global Health Governance O.D.Williams & S.Rushton PART I: GLOBAL HEALTH PARTNERSHIPS A Critical Appraisal of Global Health Partnerships S.Bartsch The Global Fund to Fight AIDS, Tuberculosis and Malaria: Expertise, Accountability and the Depoliticisation of Global Health Governance A.Barnes & G.Wallace Brown The Alignment Dialogue: GAVI and its Engagement with National Governments in Health Systems Strengthening P.S.Hill Evaluating Product Development Partnerships: Beyond quantitative metrics R.Hanlin PART II: PHILANTHROPIC FOUNDATIONS Private Foundations and Global Health Partnerships: Philanthropists and 'Partnership Brokerage' M.Moran Global Health and the Gates Foundation - In Perspective D.McCoy & L.McGoey The Clinton Foundation and Global Health Governance J.Youde Private Foundations as Agents of Development in Global Health: What Kind of Impact Do They Have and How To Assess It? C.Ulbert & B.Hamm PART III: CROSS-CUTTING THEMES Co-opting the Global Health Agenda: The Problematic Role of Partnerships and Foundations T.Faubion, S.Paige & A.L.Pearson The Limits of Control: The Accountability of Foundations and Partnerships in Global Health E.Hesselmann Coda: The End of One Era and the Start of Another: Partnerships, Foundations and the Shifting Political Economy of Global Health O.D.Williams & S.Rushton
Article
Philanthropic practices allow the dominant classes to generate knowledge about society and regulatory prescriptions, in particular by promoting the development of the social sciences. The 19th century industrialists had often invested their resources in the definition and treatment of relevant social issues, in order to institutionalize the new form of capitalism they represented. In the late 20th century, the new transnationalized social strata representing the hegemony of financial capital, whose power depends on their capacity to perpetuate the new socioeconomic order, used similar strategies. Philanthropy offers a privileged strategy for generating new forms of “policy knowledge” convergent with the interests of their promoters. Focusing on the Central European University founded by the financier George Soros, the paper argues that, far from seeking to curb the excesses of economic globalization, such efforts are actually institutionalizing it by laying the foundations of its own regulatory order.
Article
â–º Rockefeller and Ford Foundations funded developing country agriculture for 50 years. â–º The Gates Foundation now spends 10times more annually on global agriculture. â–º Agriculture is characterized by exceedingly large temporal and spatial variability. â–º Transfer of technology, policy and institutions has limited value; local capacity is required.
Book
Foreign aid is now a $100bn business and is expanding more rapidly today than it has for a generation. But does it work? Indeed, is it needed at all? Other attempts to answer these important questions have been dominated by a focus on the impact of official aid provided by governments. But today possibly as much as 30 percent of aid is provided by Non-Governmental Organizations (NGOs), and over 10 percent is provided as emergency assistance. In this first-ever attempt to provide an overall assessment of aid, Roger Riddell presents a rigorous but highly readable account of aid, warts and all. Does Foreign Aid Really Work? sets out the evidence and exposes the instances where aid has failed and explains why. The book also examines the way that politics distorts aid, and disentangles the moral and ethical assumptions that lie behind the belief that aid does good. The book concludes by detailing the practical ways that aid needs to change if it is to be the effective force for good that its providers claim it is.
Article
Global Health Partnerships (GHPs) have contributed significantly to improved global health outcomes as well as the manner in which global health is governed. Yet in a context of an increasingly complex global health landscape, resource scarcity and a shift from disease-specific to systems strengthening approaches, it is important to continually enhance and apply our understanding of how to improve GHP performance. The authors reviewed and synthesised findings from eight independent evaluations of GHPs as well as research projects conducted by the authors over the past several years, the most recent of which involved semi-structured discussions with 20 ‘partnership pioneers’. This paper presents the major drivers of the GHP trend, briefly reviews the significant contributions of GHPs to global health and sets out common findings from evaluations of these global health governance instruments. The paper answers the question of how to improve GHP performance with reference to a series of lessons emerging from the past ten years of experience. These lessons cover the following areas: These and other critical reflections inform the ‘what’s next’ agenda for GHP development.
Article
The need for timely and reliable information about global health resource flows to low-income and middle-income countries is widely recognised. We aimed to provide a comprehensive assessment of development assistance for health (DAH) from 1990 to 2007. We defined DAH as all flows for health from public and private institutions whose primary purpose is to provide development assistance to low-income and middle-income countries. We used several data sources to measure the yearly volume of DAH in 2007 US,andcreatedanintegratedprojectdatabasetoexaminethecompositionofthisassistancebyrecipientcountry.DAHgrewfrom, and created an integrated project database to examine the composition of this assistance by recipient country. DAH grew from 5.6 billion in 1990 to 21.8billionin2007.TheproportionofDAHchannelledviaUNagenciesanddevelopmentbanksdecreasedfrom1990to2007,whereastheGlobalFundtoFightAIDS,TuberculosisandMalaria,theGlobalAllianceforVaccinesandImmunization(GAVI),andnongovernmentalorganisationsbecametheconduitforanincreasingshareofDAH.DAHhasrisensharplysince2002becauseofincreasesinpublicfunding,especiallyfromtheUSA,andontheprivateside,fromincreasedphilanthropicdonationsandinkindcontributionsfromcorporatedonors.Ofthe21.8 billion in 2007. The proportion of DAH channelled via UN agencies and development banks decreased from 1990 to 2007, whereas the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Global Alliance for Vaccines and Immunization (GAVI), and non-governmental organisations became the conduit for an increasing share of DAH. DAH has risen sharply since 2002 because of increases in public funding, especially from the USA, and on the private side, from increased philanthropic donations and in-kind contributions from corporate donors. Of the 13.8 [corrected] billion DAH in 2007 for which project-level information was available, 4.9[corrected]billionwasforHIV/AIDS,comparedwith4.9 [corrected] billion was for HIV/AIDS, compared with 0.6 [corrected] billion for tuberculosis, 0.7[corrected]billionformalaria,and0.7 [corrected] billion for malaria, and 0.9 billion for health-sector support. Total DAH received by low-income and middle-income countries was positively correlated with burden of disease, whereas per head DAH was negatively correlated with per head gross domestic product. This study documents the substantial rise of resources for global health in recent years. Although the rise in DAH has resulted in increased funds for HIV/AIDS, other areas of global health have also expanded. The influx of funds has been accompanied by major changes in the institutional landscape of global health, with global health initiatives such as the Global Fund and GAVI having a central role in mobilising and channelling global health funds. Bill & Melinda Gates Foundation.
Article
The Bill & Melinda Gates Foundation is a major contributor to global health; its influence on international health policy and the design of global health programmes and initiatives is profound. Although the foundation's contribution to global health generally receives acclaim, fairly little is known about its grant-making programme. We undertook an analysis of 1094 global health grants awarded between January, 1998, and December, 2007. We found that the total value of these grants was US8.95billion,ofwhich8.95 billion, of which 5.82 billion (65%) was shared by only 20 organisations. Nevertheless, a wide range of global health organisations, such as WHO, the GAVI Alliance, the World Bank, the Global Fund to Fight AIDS, Tuberculosis and Malaria, prominent universities, and non-governmental organisations received grants. 3.62billion(403.62 billion (40% of all funding) was given to supranational organisations. Of the remaining amount, 82% went to recipients based in the USA. Just over a third (3.27 billion) of funding was allocated to research and development (mainly for vaccines and microbicides), or to basic science research. The findings of this report raise several questions about the foundation's global health grant-making programme, which needs further research and assessment.
The 2013 index of global philanthropy and remittances
  • Global Center
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Global institutional philanthropy: A preliminary status report. Boston: World-wide Initiatives for Grantmaker Support and The Philanthropic Initiative
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Philanthrocapitalism: How the rich can save the world
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Investing for social gain: Reflections on two decades of program-related investments
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International grantmaking update: A snapshot of US foundation trends
  • Foundation Center
The importance of foundations in an open society
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Philanthropy and official development assistance: A clash of civilisations? netFWD articles, series
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Knowledge actors and transnational governance: The Public-Private Policy Nexus in the Global Agora
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Philanthropic foundations and their role in international development assistance
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