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Nuzulul Kusuma Putri
Tulane University
Health Professions

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WHEN DONORS SET THE DIRECTION: LIMITS OF PROJECT-BASED HEALTH INTERVENTIONS IN LMICS – LESSONS FROM INDONESIA Nuzulul Kusuma Putri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.128-132

Abstract

Health development in many low- and middle-income countries (LMICs) tends to be driven by donor-driven pilot projects frequently framed as innovative and scalable solutions. However, these programs typically disappear once external funding ends, resulting in the failure to achieve sustainability and long-term impact. This commentary explores the limitations of project-based development in LMICs, highlighting how shifts in the global aid architecture create complex pressures on recipient countries. Indonesia serves as a case study to illustrate how the proliferation of non-governmental organizations (NGOs) and competition for donor funding have led to fragmented implementation, donor-dependent strategies, and low levels of community ownership. Keywords: Donor-driven development, health program sovereignty, Indonesia, NGOs
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