Document Detail


The Global Fund: managing great expectations.
MedLine Citation:
PMID:  15234862     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Global Fund to fight AIDS, Tuberculosis, and Malaria was created to increase funds to combat these three devastating diseases. We report interim findings, based on interviews with 137 national-level respondents that track early implementation processes in four African countries. Country coordinating mechanisms (CCMs) are country-level partnerships, which were formed quickly to develop and submit grant proposals to the Global Fund. CCM members were often ineffective at representing their constituencies and encountered obstacles in participating in CCM processes. Delay in dissemination of guidelines from the Global Fund led to uncertainty among members about the function of these new partnerships. Respondents expressed most concern about the limited capacity of fund recipients--government and non-government--to meet Global Fund conditions for performance-based disbursement. Delays in payment of funds to implementing agencies have frustrated rapid financing of disease control interventions. The Global Fund is one of several new global initiatives superimposed on existing country systems to finance the control of HIV/AIDS. New and existing donors need to coordinate assistance to developing countries by bringing together funding, planning, management, and reporting systems if global goals for disease control are to be achieved.
Authors:
Ruairí Brugha; Martine Donoghue; Mary Starling; Phillimon Ndubani; Freddie Ssengooba; Benedita Fernandes; Gill Walt
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  364     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:    2004 Jul 3-9
Date Detail:
Created Date:  2004-07-05     Completed Date:  2004-07-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  95-100     Citation Subset:  AIM; IM    
Affiliation:
Department of Public Health Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. Ruairi.brugha@lshtm.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / economics*,  epidemiology,  prevention & control*
Africa South of the Sahara / epidemiology
Developing Countries*
Financing, Organized / organization & administration*
Humans
International Agencies*
Malaria / economics*,  prevention & control*
Prevalence
Tuberculosis / economics*,  prevention & control*
Comments/Corrections
Comment In:
Lancet. 2004 Jul 3-9;364(9428):11-2   [PMID:  15234838 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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