Donors’ Participation the Health System:  A Double-Edged Sword

Khatere  Khanjankhani; Seyede Maryam  Najibi

doi:10.18502/mshsj.v8i4.15162

Khatere Khanjankhani Ph.D. of Health Policy, Head of Management of Non-Governmental Organizations and Health Philanthropist, yazd university of Medical Sciences, Yazd, Iran
Seyede Maryam Najibi Ph.D. of Health Services Managemen, Research Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

DOI: https://doi.org/10.18502/mshsj.v8i4.15162

Keywords: Donors, Health system, Participation

Abstract

The presence of donors in health system, despite its positive results, can also have weaknesses that sometimes act as a double-edged sword in achieving health priorities. In some cases, the needs are considered by donors as unnecessarily the real ones in health system. On the other hand; sometimes, benevolent actions are involved in political intentions and pressures.

In order to eliminate deficiencies, it is necessary to comply with standards, priorities, and real needs of health system in any field. What helps this alignment and action towards goals is using the capacity of scientific evidence. With the help of scientific evidence, the real needs of health sector can be identified and prioritized, and the capacity of donors can be used to meet those needs. Moreover, reforming and re-engineering the processes of benefactors' activities in the field of health, directing benefactors' aid, developing rules and standards, and creating transparency in costs for inter-sectoral coordination are solutions that will help to improve the conditions about this issue.