Institutions and Financing Methods for Bundling and Delivery Systems in the Horn of Africa

The aim of this study is to reduce disease prevalence in and around the Horn of Africa by focusing on prevention rather than treatment and scaling a cost-effective solution to ensure equitable access to preventative healthcare goods. Disease incidence in the region is among the worst globally, with Somalia ranking 195th in healthcare outcomes (Statista, 2024). Weak governance, resource misallocation, and poor infrastructure exacerbate these issues. Addressing them requires integrating institutions, financing methods, and healthcare delivery systems, particularly to reduce vector- and water- borne diseases. Using econometric methods, the study investigates how health workers, development assistance, and government funding affect disease prevalence. The findings suggest individual strategies, like donor funding or increasing healthcare workers, achieve limited success independently, but collaboration significantly improves outcomes. Regression results present a positive relationship between development assistance and malaria incidence, likely due to reverse causality and allocation bias. They also show that both government health spending and health workers are associated with reductions in disease mortality. Community-Based Organisations (CBOs) can manage bundling and delivery more effectively using local trust and knowledge. Governance reforms are crucial for improving funding efficiency. This study highlights the importance of prevention-focused, scalable solutions to reduce disease burdens.