Each of the case-studies reported on how increased donor support for health has made it difficult for MOHs to successfully argue for additional domestic sources of revenue for the sector – each site experienced this dilemma to varying degrees. The findings of the case-study in Malawi show increases in development assistance to the health sector occurring at the same time as government- wide budget allocations to health were reduced or shifted to other line ministries. While there are other constraining factors on increasing domestic resources for health in addition to infusions of overseas development assistance to the sector (such as considerations.
