In a United Nations General Assembly Resolution
[4,5] 40 years ago, developed countries committed to
allocate at least 0.7% of their gross national product
(GNP) to Official Development Assistance (ODA).
Development aid has been increasing but falls far short
of what is needed and what has been promised. In 2008
only 5 of the 24 members of the Development Assistance Committee (DAC) allocated at least 0.7% of gross
national income to official development assistance [6].
In 2008 DAC countries allocated in total 0.31% of their
gross national income to ODA, which is below the
0.54% needed by developing countries to achieve their
Millennium Development Goals (MDGs) [7]. Also, most
of donor support for health is unpredictable, tied, and
not aligned and harmonized with the health priorities
and systems of the African countries.