Identify and Prioritize Criteria for Efficient Allocation of Donation Resources

Abstract

Introduction: Using civil society’s and donors’ resources can be helpful options to strengthen financingof the Iranian Health System to reduce the Out-of-Pocket Expenditures. Although local and public fundscan address many problems of health systems, but the main concern is allocation of resources mobilized bydonors.Objective: the current study aims to identify and prioritize effective factors on allocation of resourcesmobilized by donors in the Iranian Health System context.Methods: The current study comprises of three parts. The first part was a qualitative study to identify factorsthat influence allocation of resources mobilized by donors. At the second part, Delphi method was used toevaluate experts’ consensus on allocation criteria. In the second part, identified criteria were prioritized.Hierarchical analysis was used to prioritize criteria.Results: The results of the analysis of interviews were divided into 3 groups: Financial SustainabilityFramework, Corporate Funding Organization, Optimum Funding Allocation and 6 main categories including(Recruitment, Maintenance and Active Participation, Organizing and Planning, Executive factors, method ofinvestment, identification of real need, need-based decision criteria) and 36 sub-categories were extracted.Conclusion: Policy-makers and managers of the health system must channel the mobilized resourcesthrough appropriate planning, organizing, and monitoring. Furthermore, parallel activities must be avoided.Lack of appropriate management and good organization of donations result in waste of resources, whichdistract donors’ attention from the health system