グローバル・ファンド:大きな期待の管理
Ruairí Brugha1, Martine Donoghue, Mary Starling
1Department of Public Health Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. Ruairi.brugha@lshtm.ac.uk
Lancet (London, England)
|July 6, 2004
まとめ
グローバルファンドの早期実施は,アフリカ諸国において課題に直面した. 各国の調整メカニズム (CCM) は,代表性と能力に問題があり,疾病管理の取り組みを阻害しました.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 国際開発国際開発
- 公共衛生政策 公共衛生政策
背景:
- エイズ,結核,マラリアと闘うためのグローバルファンドは,重要な疾病管理プログラムへの資金を増やすために設立されました.
- 既存の国家システムと並行して,新たなグローバル・ヘルス・ファイナンシング・メカニズムが導入されています.
研究 の 目的:
- 4つのアフリカ諸国におけるグローバルファンドの早期実施プロセスを評価する.
- グローバルファンドの事業の初期段階における課題と成功を特定する.
主な方法:
- 137人の全国レベルの回答者のインタビューに基づく暫定的な調査結果.
- 国の調整メカニズム (CCM) と資金受給者能力の質的評価.
主要な成果:
- CCMは,迅速な形成と遅れたガイドラインのために,選挙区の代表と参加で困難に直面しました.
- 業績に基づく支給条件を満たすための資金受給者 (政府および非政府) の能力の制限は,大きな懸念事項でした.
- 実施機関への資金支給の遅延は,疾病管理介入の迅速な資金調達を妨げました.
結論:
- 新しいドナーと既存のドナーの間の効果的な連携は,世界的な疾病管理目標の達成に不可欠です.
- 能力の制限に対処し,資金の流れを改善することは,グローバルファンドの成功的な実施に不可欠です.
- 開発途上国には,資金調達,計画,管理,報告システム間の協力の強化が必要である.
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