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One can expect a similar withdrawal from multilateral funding from the world's fourth largest donor, France, after its December elections.
Multilateral funding, including to UN agencies, may also rise – Owen Barder at the Centre for Global Development has convincingly argued that it may be more efficient than bilateral interventions.
DfID's malaria plans foresee a 71% increase in multilateral funding from £46m to £79m, compared with a 56% rise in bilateral spending from £70m to £110m in the period 2011-12 to 2014-15.
"I think one of the most important points to get across to all the donors is that even though there is a lot you can do bilaterally, a great deal of that depends on having a system in place that requires multilateral funding," he said.
Donors sometimes work through WHO and other times prefer to give bilaterally or through specialized partnerships, often depending on the issue (Check out IHME's visualizations). For example, based if you look at IHME data, 80to90percentent of all multilateral funding for HIV, tuberculosis and malaria goes through the Global Fund — meaning that WHO is not the only agency on the sidelines.
On top of the IMF funding, the programme also agrees "other bilateral and multilateral funding" to a total value of about $40bn.
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Afghan reconstruction is supported by a multilateral fund, administered by the bank.
"We've seen a sharp decline in commitments coming through multilateral funds.
A multilateral fund under the Montreal Protocol helps developing countries convert to newer chemicals.
It would also create a multilateral fund to buy these vaccines and distribute them in the world's poorest countries.
The NAO urges DfID to make more systematic comparisons between multilateral and bilateral aid to see whether it is getting enough value for money from multilateral funds.
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