WOLFENSOHN CENTER FOR DEVELOPMENT WORKING PAPER 8 | JANUARY 2009 A CASE STUDY OF AID EFFECTIVENESS IN KENYA VOLATILITY AND FRAGMENTATION OF FOREIGN AID, WITH A FOCUS ON HEALTH Francis M. Mwega The Brookings Global Economy and Development working paper series also includes the following titles: • Wolfensohn Center for Development Working Papers • Middle East Youth Initiative Working Papers • Global Health Initiative Working Papers Learn more at www.brookings.edu/global Francis M. Mwega is Associate Professor at the School of Economics at the University of Nairobi. Editor’s Note: This paper was commissioned by the Wolfensohn Center for Development at the Brookings Institution. This paper is one in a series of country case studies that examines issues of aid effectiveness and coordination at the country level. It does not necessarily refl ect the offi cial views of the Brookings Institution, its board or the advisory council members. For more information, please contact the Wolfensohn Center at
[email protected]. CONTENTS Introduction . .1 Pattern and evolution of foreign aid to Kenya . 4 Total aid and its decompositions . 4 Country Programmable Aid (CPA) . 6 Emerging players in aid . 7 Chinese development assistance to Kenya . 7 Private sector aid . 10 Volatlitiy of Aid . 12 Extent of volatility of total aid and its components in Kenya . 12 The effects of aid cyclicality . 12 Government responses to aid volatility and decline over time . 14 Costs of volatility . .17 Fragmentation of Aid . 20 Aid fragmentation in Kenya . 21 Aid Coordination in Kenya . 24 Foreign Aid to Kenya’s Health Sector . 29 Pattern and evolution of aid to the health sector; its volatility and fragmentation .