tailieunhanh - báo cáo khoa học: " Global Health Initiatives and aid effectiveness: insights from a Ugandan case study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Global Health Initiatives and aid effectiveness: insights from a Ugandan case study | Oliveira Cruz and McPake Globalization and Health 2011 7 20 http content 7 1 20 H2 globalization 7 AND HEALTH RESEARCH Open Access Global Health Initiatives and aid effectiveness insights from a Ugandan case study Valeria Oliveira Cruz1 t and Barbara McPake2t Abstract Background The emergence of Global Health Initiatives GHIs has been a major feature of the aid environment of the last decade. This paper seeks to examine in depth the behaviour of two prominent GHIs in the early stages of their operation in Uganda as well as the responses of the government. Methods The study adopted a qualitative and case study approach to investigate the governance of aid transactions in Uganda. Data sources included documentary review in-depth and semi-structured interviews and observation of meetings. Agency theory guided the conceptual framework of the study. Results The Ugandan government had a stated preference for donor funding to be channelled through the general or sectoral budgets. Despite this preference two large GHIs opted to allocate resources and deliver activities through projects with a disease-specific approach. The mixed motives of contributor country governments recipient country governments and GHI executives produced incentive regimes in conflict between different aid mechanisms. Conclusion Notwithstanding attempts to align and harmonize donor activities the interests and motives of the various actors GHIs and different parts of the government undermine such efforts. Background Over the past decade the international aid community has shown greater concern with improving aid effectiveness. In spite of historical gains in health status challenges still abounded in 1998 the infant mortality rate IMR in Africa was still 91 per thousand more than four times the rate for Europe 1 in 2006 over billion people worldwide were at risk of malaria transmission contributing to approximately 1 million deaths each year 2 and the estimated .