全球基金:管理巨大的期望
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
概括
全球基金的早期实施在非洲国家面临挑战. 国家协调机制 (CCM) 在代表性和能力方面扎,阻碍了疾病控制工作.
科学领域:
- 全球健康 全球健康
- 国际发展国际发展
- 公共卫生政策 公共卫生政策
背景情况:
- 全球抗击艾滋病,结核病和疟疾基金成立,旨在增加对关键疾病控制计划的资金.
- 新的全球卫生融资机制正在与现有的国家系统一起实施.
研究的目的:
- 评估全球基金在四个非洲国家的早期实施过程.
- 在全球基金运营的初始阶段确定挑战和成功.
主要方法:
- 基于对137名国家级受访者进行的采访的临时调查结果.
- 对国家协调机制 (CCM) 和资金受益人能力的定性评估.
主要成果:
- 由于快速形成和推迟准则,CCM在选区代表和参与方面遇到了困难.
- 资金受益者 (政府和非政府) 满足基于绩效的支付条件的能力有限,这是一个重大问题.
- 对执行机构资金支付的延迟阻碍了对疾病控制干预措施的快速融资.
结论:
- 新和现有捐助者之间的有效协调对于实现全球疾病控制目标至关重要.
- 解决能力限制和改善财务流动对于全球基金的成功实施至关重要.
- 发展中国家需要加强资金,规划,管理和报告系统之间的合作.
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