The main purpose of this work is to develop a case study assessing the recent patterns and impacts of ODA (official development assistance) and DAH (development assistance for health) to Liberia on overall government spending and domestic revenue generation as well as domestic government health spending. Specifically, the study will examine the recent flows of ODA and DAH resources into the country and test whether it is possible to determine the degree of fungibility in domestic budgetary expenditures and revenues, overall, as well as in domestic health budgetary spending and receipts (from internal and external sources) as a result of (or due to) ODA and DAH. The study will distinguish between targeted/earmarked aid and general budget support, and will attempt to distinguish commitments from actual disbursements (both for DAH and for government).