TY - JOUR
T1 - Dedicated health systems strengthening of the Global Fund to Fight AIDS, Tuberculosis, and Malaria
T2 - An analysis of grants
AU - Fan, Victoria Y.
AU - Tsai, Feng Jen J.
AU - Shroff, Zubin C.
AU - Nakahara, Branden
AU - Vargha, Nabil
AU - Weathers, Scott
N1 - Funding Information:
GPR: Grant Performance Report; PGA: Program Grant Agreement (refer to Box 1 for definitions). a Internal Global Fund unique identifier of the grant number. Countries can receive multiple grants.
Funding Information:
Figure 1. Number of performance indicators by grant number and WHO Building Block. In the portfolio of dedicated Health Systems Strengthening grants, countries vary in the number of performance indicators by WHO Building Block. Countries do not necessarily have performance indicators in all building blocks. Few countries had indicators on health financing. Common building blocks were Information & Research, Health Workforce, and Medical Products & Technology. Note: For countries with two grants, the numbers are order sequentially by date of grant.
Funding Information:
Funding: This work was supported in part by UH RTRF Start-Up Fund to hire research assistance (BN, PK).
PY - 2017/1
Y1 - 2017/1
N2 - 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.
AB - 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.
KW - And Malaria
KW - Global Fund to Fight AIDS
KW - Global Health
KW - Global Health Initiative
KW - Health systems
KW - Health systems strengthening
KW - Tuberculosis
KW - World Health Organization
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U2 - 10.1093/inthealth/ihw055
DO - 10.1093/inthealth/ihw055
M3 - Article
C2 - 27986840
AN - SCOPUS:85033470950
SN - 1876-3413
VL - 9
SP - 50
EP - 57
JO - International Health
JF - International Health
IS - 1
ER -
