The integration of multiple HIV/AIDS projects into a coordinated national programme in China
The integration of multiple HIV/AIDS projects into a coordinated national programme in China
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DOI：
10.2471/blt.10.082552
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发表时间：
2011-03-01
期刊：
影响因子：
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通讯作者：
Bulterys, Marc
中科院分区：
文献类型：
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作者：
Wu, Zunyou;Wang, Yu;Bulterys, Marc
发达国家的外部财政支助是任何发展中国家国家艾滋病方案的主要资源。因此，捐助者对这些方案的内容和执行的影响是不可避免的。中国是一个发展中大国，其艾滋病毒/艾滋病方案得到了相当大的国际支持。在应对的早期阶段，每个大型艾滋病毒/艾滋病项目都根据各自的项目框架独立开展活动。当国际资助的项目很少，国内支助的数量很少时，独立执行这些项目并不构成问题。当许多艾滋病毒/艾滋病项目同时在同一地点执行时，出现了数据收集不一致和重叠等问题。因此，中国协调并将所有大型国际和国内艾滋病毒/艾滋病项目纳入一个国家方案。整合进程开始缓慢，最初由统一的数据收集组成。整合现已完成，包括项目规划、预算编制、执行、监测和评价等过程。由于有一个单一的协调机构、国际机构的合作和政府的财政承诺，这一进程得到了促进。在这一过程中遇到了一些问题，例如卫生保健工作人员最初不愿分配额外的时间来协调项目。本文件描述了整合国内和国外艾滋病毒/艾滋病项目的过程，可作为其他发展中国家管理稀缺资源的有益范例。
External financial support from developed countries is a major resource for any developing country's national AIDS programme. The influence of donors on the content and implementation of these programmes is thus inevitable. China is a large developing country that has received considerable international support for its HIV/AIDS programme. In the early stage of the response, each large HIV/AIDS project independently implemented their activities according to their project framework. When internationally funded projects were few and the quantity of domestic support was minimal, their independent implementation did not pose a problem. When many HIV/AIDS projects were simultaneously implemented in the same locations, problems emerged such as inconsistency and overlap in data collection. China has thus coordinated and integrated all large international and domestic HIV/AIDS projects into one national programme. The process of integration began slowly and initially consisted of unified data collection. Integration is now complete and encompasses the processes of project planning, budgeting, implementation, monitoring and evaluation. The process was facilitated by having a single coordinating body, cooperation from international agencies and financial commitment from the government. Some problems were encountered during this process, such as initial reluctance from health-care staff to allocate additional time to coordinate projects. This paper describes that process of integrating domestic and foreign HIV/AIDS projects and may serve as a useful example for other developing countries for management of scarce resources.