The Global Fund: managing great expectations
The Global Fund: managing great expectations
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DOI：
10.1016/s0140-6736(04)16595-1
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发表时间：
2004-07-03
期刊：
影响因子：
168.9
通讯作者：
Walt, G
中科院分区：
文献类型：
--
作者：
Brugha, R;Donoghue, M;Walt, G
全球抗击艾滋病、结核病和疟疾基金的设立是为了增加资金，以抗击这三种毁灭性的疾病。我们基于对137名国家一级受访者的采访，报告了中期调查结果，这些受访者跟踪了四个非洲国家的早期实施进程。国家协调机制(CCM)是国家一级的伙伴关系，它们迅速形成，以制定并向全球基金提交赠款建议。协委会成员在代表其选民方面往往不力，在参与协委会进程方面遇到障碍。由于延迟分发全球基金的准则，各成员对这些新伙伴关系的作用产生了不确定性。答复者对资金接受者--政府和非政府--满足全球基金按业绩发放的条件的能力有限表示最关切。向执行机构支付资金的拖延阻碍了疾病控制干预措施的快速筹资。全球基金是叠加在现有国家系统之上的几项新的全球倡议之一，目的是为控制艾滋病毒/艾滋病提供资金。如果要实现全球疾病控制目标，新的和现有的捐助者需要通过汇集资金、规划、管理和报告系统来协调对发展中国家的援助。
The Global Fund to fight AIDS, Tuberculosis, and Malaria was created to increase funds to combat these three devastating diseases. We report interim findings, based on interviews with 137 national-level respondents that track early implementation processes in four African countries. Country coordinating mechanisms (CCMs) are country-level partnerships, which were formed quickly to develop and submit grant proposals to the Global Fund. CCM members were often ineffective at representing their constituencies and encountered obstacles in participating in CCM processes. Delay in dissemination of guidelines from the Global Fund led to uncertainty among members about the function of these new partnerships. Respondents expressed most concern about the limited capacity of fund recipients-government and non-government-to meet Global Fund conditions for performance-based disbursement. Delays in payment of funds to implementing agencies have frustrated rapid financing of disease control interventions. The Global Fund is one of several new global initiatives superimposed on existing country systems to finance the control of HIV/AIDS. New and existing donors need to coordinate assistance to developing countries by bringing together funding, planning, management, and reporting systems if global goals for disease control are to be achieved.