Working Paper

Are donors targeting the greatest health needs? Evidence from mining sites in the D.R.Congo

Date Published

Jun 27, 2019


Samuel Lordemus



Lordemus, S. (2019). Are donors targeting the greatest health needs? Evidence from mining sites in the D.R.Congo. AidData Working Paper #82. Williamsburg, VA: AidData at William & Mary.

Update: A revised version of this paper has been published in the Oxford Bulletin of Economics and Statistics.


I examine the effectiveness of donors in targeting the highest burden of malaria in the Democratic Republic of Congo when health information structure is fragmented. I exploit local variations in the burden of malaria induced by mining activities as well as financial and epidemiological data from health facilities to estimate how local aid is matching local health needs. Using a regression discontinuity design, I find significant but quantitatively small variations in aid to health facilities located within mining areas. Comparing local aid with the additional cost of treatment and prevention associated with the increased risk of malaria transmission, I find suggestive evidence that local populations with the highest burden of the disease receive a proportionately lower share of aid compared to neighbouring areas with reduced exposure to malaria infection. The evidence of disparities in the allocation of aid for malaria supports the view that donors may have inaccurate information about local population needs.

Funding: Epidemiological and financial data used in this paper have been collected by the author as part of a research project with the Global Fund. Financial support from Economic and Social Research Council is gratefully acknowledged.

Featured Authors

No items found.

Related Datasets

No items found.

Related Blog Posts

No items found.

Related Events

No items found.