This indifference must be avoided if we are to move toward TB elimination. The Beyond TB Address was given by Professor Richard Feachem, Director of the Institute for Global Health at UCSF and formerly of The World Bank and the London School of Hygiene and Tropical Medicine. Gender disparity in secondary education has also improved dramatically. In addition, this assistance peaked in 1991 and has been declining rapidly since. Private funding is better but is concentrated in a subset of countries.
Economists differentiate between countries with good and poor environments for development.
In a good environment aid works by speeding up the country's natural growth process. Aid may speed progress in a poor environment by paying for training and education, but aid money cannot buy a good environment, which is either present or not. In some poor environments funders have tried to bypass the government by going through effective NGOs. This can have some short-term success, but it is not an effective policy in the long run. Interestingly, although one would expect private sources to pay an increasing amount of the health care budget as countries grow richer we see just the opposite.