Document Detail


Stakeholder perceptions of aid coordination implementation in the Zambian health sector.
MedLine Citation:
PMID:  20004996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study, we analysed stakeholder perceptions of the process of implementing the coordination of health-sector aid in Zambia, Africa. The aim of coordination of health aid is to increase the effectiveness of health systems and to ensure that donors comply with national priorities. With increases in the number of donors involved and resources available for health aid globally, the attention devoted to coordination worldwide has risen. While the theoretical basis of coordination has been relatively well-explored, less research has been carried out on the practicalities of how such coordination is to be implemented. In our study, we focused on potential differences between the views of the stakeholders, both government and donors, on the systems by which health aid is coordinated. A qualitative case study was conducted comprising interviews with government and donor stakeholders in the health sector, as well as document review and observations of meetings. Results suggested that stakeholders are generally satisfied with the implementation of health-sector aid coordination in Zambia. However, there were differences in perceptions of the level of coordination of plans and agreements, which can be attributed to difficulties in harmonizing and aligning organizational requirements with the Zambian health-sector plans. In order to achieve the aims of the Paris Declaration; to increase harmonization, alignment and ownership--resources from donors must be better coordinated in the health sector planning process. This requires careful consideration of contextual constraints surrounding each donor.
Authors:
Jesper Sundewall; Kristina Jönsson; Caesar Cheelo; Göran Tomson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-12-11
Journal Detail:
Title:  Health policy (Amsterdam, Netherlands)     Volume:  95     ISSN:  1872-6054     ISO Abbreviation:  Health Policy     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-07     Completed Date:  2010-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409431     Medline TA:  Health Policy     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  122-8     Citation Subset:  H    
Copyright Information:
Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Division of Global Health (IHCAR), Karolinska Institutet, SE-171 77 Stockholm, Sweden. jesper.sundewall@ki.se
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MeSH Terms
Descriptor/Qualifier:
Advisory Committees
Attitude of Health Personnel*
Attitude to Health*
Cooperative Behavior
Developing Countries
Health Plan Implementation / organization & administration*
Health Planning Support / organization & administration*
Health Priorities
Humans
International Cooperation*
Interprofessional Relations
Leadership
Models, Organizational
National Health Programs / organization & administration*
Ownership
Program Evaluation
Qualitative Research
Questionnaires
Trust
Zambia

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


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