Author(s):
Casimiro, Anaxore ; Branco, Joana ; Maulide Cane, Réka ; Andrade, Michel Jareski ; Varandas, Luís ; Craveiro, Isabel
Date: 2025
Persistent ID: http://hdl.handle.net/10362/188582
Origin: Repositório Institucional da UNL
Subject(s): child health; foreign aid; Guinea-Bissau; maternal health; Muskoka2 methodology; neonatal health; official development assistance; private voluntary support; reproductive health; West Africa; Pediatrics, Perinatology, and Child Health; SDG 3 - Good Health and Well-being
Description
Funding Information: A.C.: R.M.C., L.V., and I.C. were supported by Fundação para a Ciência e a Tecnologia for funds to GHTM—UID/04413/2020 and LA-REAL—LA/P/0117/2020. The authors’ views expressed in this publication do not necessarily reflect the views of institutions and funders. Publisher Copyright: © 2025 by the authors.
Background: Reproductive, maternal, neonatal, and child health (RMNCH) remains a key priority for official development assistance and private voluntary assistance (ODA+) in low-income countries. In Guinea-Bissau, maternal and child mortality rates remain high, with the healthcare system heavily dependent on foreign aid. This study analyzes ODA+ trends for RMNCH in Guinea-Bissau from 2002 to 2018 and assesses its impact on maternal, neonatal, infsupplent, and under-five mortality rates. Methods: We used data from the OECD Creditor Reporting System and applied the Muskoka2 methodology to estimate RMNCH-related disbursements. Funding trends were categorized by donor type and RMNCH subsectors. A longitudinal analysis used regression models to assess the relationship between aid categories and mortality outcomes. Results: RMNCH funding accounted for 8.9% of total ODA+ to Guinea-Bissau, with most aid directed toward child health. Models revealed a negative association between child health funding and under-five and infant mortality, while reproductive health funding showed no significant correlation with maternal or neonatal mortality. Conclusions: Although variable, ODA+ for RMNCH in Guinea-Bissau has helped reduce child mortality. However, maternal and neonatal mortality require targeted interventions and improved coordination. Fluctuating aid disbursements emphasize the need for sustainable health financing and stronger donor alignment with national priorities.
