Foreign Aid Transaction Costs: What are they and when are they minimised?

'Transaction costs' are commonly referred to in the recent literature on aid effectiveness. Aid transaction costs, however, have been neither consistently defined nor measured. This article defines aid transaction costs as all the economic costs associated with aid management that add no value to aid delivery. This enables the 'net' transaction costs that should be minimised to be identified. An analytical framework is then developed for assessing these costs. This allows the effectiveness of different aid modalities to be compared, according to the characteristics of the aid transaction. The article shows that the choice of aid modality should depend on these characteristics and, therefore, that the minimisation of transaction costs should not be an end in itself.Peer reviewe

A time for action: Opportunities for preventing the growing burden and disability from musculoskeletal conditions in low- and middle-income countries

Musculoskeletal (MSK) conditions cause an enormous global burden, and this is dramatically increasing in developing countries, particularly due to rapidly ageing populations and increasing obesity. Many of the global non-communicable disease (NCD) initiatives need to expand beyond the traditional ‘top four’ NCD groups by incorporating MSK diseases. It is critical that MSK initiatives in developing countries integrate well with health systems, rather than being stand-alone. A better inclusion of MSK conditions will avoid doubling of efforts and wasting of resources, and will help to promote a more streamlined, cost-effective approach. Other key opportunities for action include the following: ensuring the principles of ‘development effectiveness’ are met; strengthening leadership and commitment; building the research, information and evidence base; and reducing the incidence and disability of MSK conditions through better prevention. Each of these elements is necessary to mitigate and reduce the growing burden from the MSKs

Transnational multistakeholder partnerships as vessels to finance development : navigating the accountability waters

Partnerships have long been presented as transformative and effective mechanisms to overcome challenges linked to the global governance of development. The 2030 Agenda for Sustainable Development and SDG 17 call for intensified involvement and engagement of partnerships in sustainable development, formalizing a role specifically for multi-stakeholder partnerships (MSPs). In this context, transnational MSPs that enmesh public and private to finance development, continue to flourish as a hybrid model of governance. This paper seeks to critically assess the accountability issues linked to channelling development financing through transnational MSPs using an accountability matrix, based on responsibility, answerability and enforceability, applicable to the system-level development cooperation/aid frameworks as well as to MSPs. The article then evaluates the accountability challenges and shortcomings arising from MSPs as development financing actors resulting in diffused responsibility, limited answerability and weak enforceability. Finally, the article outlines a research agenda and Policy recommendations to improve the accountability of MSPs when they finance development