ABSTRACT

CONTENTS 10.1 About the GRAP-SWAP Research Project ................................... 192 10.2 Introduction................................................................................. 192 10.3 Origins of Sectorwide Approaches................................................ 193 10.4 Health Sector Weaknesses and Reforms

in Low-Income Countries ............................................................ 197 10.5 Role of SWAps in Support of Health System Reforms-

and the Specific Issue of Global ‘‘Vertical’’ Initiatives................... 200 10.6 Some Lessons Learned about Health SWAps ............................... 202 10.7 Conclusions.................................................................................. 208 Notes ...................................................................................................... 211

10.1 About the GRAP-SWAP Research Project The GRAP-SWAP research, conducted in close partnership with the Belgian development cooperation agencies, focuses on the application of the sectorwide approach (SWAp) to the health sector, more specifically in Africa. The GRAP­ SWAP’s central research question can be declined as follows: Does the adoption of a SWAp and of its implementation modalities make a difference compared to ‘‘trad­ itional’’ cooperation approaches, when it comes to

(a) Overcoming the limitations of project approaches and increasing the efficiency and sustainability of external aid interventions, from a financial and economic perspective and also from an institutional perspective?