Dedicated health systems strengthening of the Global Fund to Fight AIDS, Tuberculosis, and Malaria: an analysis of grants

被引:4
作者
Fan, Victoria Y. [1 ,2 ]
Tsai, Feng-Jen J. [3 ]
Shroff, Zubin C. [4 ]
Nakahara, Branden [1 ]
Vargha, Nabil [1 ]
Weathers, Scott [2 ]
机构
[1] Univ Hawaii Manoa, Off Publ Hlth Studies, 1960 East West Rd,Biomed D204, Honolulu, HI 96822 USA
[2] Ctr Global Dev, 2055 L St NW,5th Floor, Washington, DC 20036 USA
[3] Taipei Med Univ, Coll Publ Hlth, Master program Global Hlth & Dev, 250 Wuxing St, Taipei 110, Taiwan
[4] WHO, Alliance Hlth Policy & Syst Res, Ave Appia 20, CH-1211 Geneva, Switzerland
来源
INTERNATIONAL HEALTH | 2017年 / 9卷 / 01期
关键词
Global Fund to Fight AIDS; Tuberculosis; and Malaria; Global Health; Global Health Initiative; Health systems; Health systems strengthening; World Health Organization; DEVELOPING-COUNTRIES; HUMAN-RESOURCES; SERVICES; INITIATIVES; INVESTMENTS; PROGRAMS; CODE; GAVI;
D O I
10.1093/inthealth/ihw055
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: This study aims to understand the determinants of the Global Fund to Fight AIDS, Tuberculosis, and Malaria's dedicated channel for health systems strengthening (HSS) funding across countries and to analyze their health system priorities expressed in budgets and performance indicators. Methods: We obtained publicly available data for disease-specific and HSS grants from the Global Fund over 2004-2013 prior to the new funding model. Regression analysis was employed to assess the determinants of dedicated HSS funding across 111 countries. Documents for 27 dedicated HSS grants including budgets and performance indicators were collected, and activities were analyzed by health system functions. Results: HSS funding per capita is significantly associated with TB and HIV funding per capita, but not per capita income and health worker density. Of 27 dedicated HSS grants, 11 had line-item budgets publicly available, in which health workforce and medical products form the majority (89% or US$ 132 million of US$ 148 million) of funds. Yet these areas accounted for 41.7% (215) of total 516 performance indicators. Conclusions: Health worker densities were not correlated with HSS funding, despite the emphasis on health workforce in budgets and performance indicators. Priorities in health systems in line-item budgets differ from the numbers of indicators used.
引用
收藏
页码:50 / 57
页数:8
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