1. Funding for Global Health Initiatives Global health initiatives harness a large amount of foundation resources and involve a number of organizations and agencies working across a range of countries to combat a specific disease or set of diseases. A significant portion of this funding went to combat a range of diseases that affect Africa, especially infectious diseases. This report does not examine the geographic distribution of funds targeted for global initiatives, but the following six foundations collectively contributed more than $29 million for global health initiatives, for which Africa was one focus: 1. 2. 3. 4. 5. 6.
Bill and Melinda Gates Foundation David and Lucile Packard Foundation John M. Lloyd Foundation Open Society Institute Rockefeller Foundation Turner Foundation
Examples of the global initiatives and organizations supported by these foundations are the International Trachoma Initiative, the International Society for Infectious Diseases, the international Women’s Health Coalition, the Population Council, and the Save the Children Federation. 2. Funding for Africa-Wide Initiatives Funding for Africa-wide initiatives received $158 million from 18 (53%) of the 34 foundations surveyed for this report. Funding from the Gates Foundation represents $117 million (74%) of the total funding for Africa-wide initiatives, and the remaining $41 million reflects funding by the other 33 foundations. The ExxonMobil Foundation and Rockefeller Foundation gave $2.7 million for activities in Sub-Saharan Africa. 3. Region-Specific Funding within Africa Region-specific funding targets a particular region or group of countries. The 34 foundations surveyed collectively funded region-specific initiatives totaling $11.6 million. The majority of regional funding went to Southern Africa ($7.2 million, or 62%) from 5 funders: Bill and Melinda Gates Foundation, Bristol-Myers Squibb Foundation, Ford Foundation, Open Society Institute, and United Nations Foundation. The second largest amount of regional funding went to East Africa ($1.4 million, or 12%) from the Ford, John M. Lloyd, Public Welfare, and Rockefeller Foundations. West African regional initiatives received the least amount of funding ($300,000, or 3%), all of which came from the Rockefeller Foundation. During the period 2000–2002, none of the 34 foundations surveyed reported funding for region-specific health initiatives targeting Central Africa or North Africa. 4. Country-Specific Funding Three of the top five countries receiving the most funding for health in Africa from 2000 to 2002 were in Southern Africa (see Appendixes D and E for detailed breakdowns of funding by country). Mozambique received the largest amount of funding ($1.05 billion). Kenya had the second largest amount ($1.007 billion), followed by Botswana ($123 million), South Africa ($104 million), and Nigeria ($42.5 million). The number of funders present in a particular country did not necessarily correlate with the amount of funding. For example, South Africa had the largest number of funders (28), but it ranked fourth in the amount of funding. Kenya had 13 funders and ranked second, but Botswana, with 3 funders, ranked third, while Nigeria, with 11 funders, ranked fifth.
Funding for Health in Africa: Mapping the U.S. Foundation Landscape, 2000-2002 6