tailieunhanh - báo cáo khoa học: " The Health Systems Funding Platform: Is this where we thought we were going?"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The Health Systems Funding Platform: Is this where we thought we were going? | Hill et al. Globalization and Health 2011 7 16 http content 7 1 16 H2 globalization 7 AND HEALTH RESEARCH Open Access The Health Systems Funding Platform Is this where we thought we were going 1 2 3 2 2 Peter S Hill Peter Vermeiren Katabaro Miti Gorik Ooms and Wim Van Damme Abstract Background In March 2009 the Task Force for Innovative International Financing for Health Systems recommended a health systems funding platform for the Global Fund GAVI Alliance the World Bank and others to coordinate mobilize streamline and channel the flow of existing and new international resources to support national health strategies. Momentum to establish the Health Systems Funding Platform was swift with the World Bank convening a Technical Workshop on Health Systems Strengthening HSS and serial meetings organized to progress the agenda. Despite its potential significance there has been little comment in peer-reviewed literature though some disquiet in the international development community around the scope of the Platform and the capacity of the partners which appears disproportionate to the available information. Methods This case study uses documentary analysis participant observation and 24 in-depth interviews to examine the processes of development and key issues raised by the Platform. Results The findings show a fluid and volatile process with debate over whether ongoing engagement in HSS by Global Fund and GAVI represents a dilution of organizational focus risking ongoing support or a paradigm shift that facilitates the achievement of targeted objectives builds systems capacity and will attract additional resources. Uncertainty in the development of the Platform reflects the flexibility of the recently formed global health initiatives and the instability of donor commitments particularly in the current financial climate. But implicit in the conflict is tension between key global stakeholders over defining and ownership of the health systems