Researchers estimate that development assistance for health peaked at USD28.2bn in 2010 – an enormous increase from USD5.7bn in 1990 (Financing Global Health 2012, McCoy et al 2009). As the fight against global epidemics such as HIV, malaria and tuberculosis steps up, both donors and implementers have begun to think more about how to effectively manage the risks that come along with rapid disbursement of vast sums of money through often weak health care systems in developing countries.