The Dynamics of Power Flow From the Global Health Financing Comment on "Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process".
The Dynamics of Power Flow From the Global Health Financing Comment on "Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process".
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DOI：
10.34172/ijhpm.2023.7806
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发表时间：
2023
影响因子：
3.5
通讯作者：
Rhodes N
中科院分区：
文献类型：
--
作者：
Brown GW;Rhodes N
本文同意Lassa等人的观点，即生物医学范例和医学专业人员是全球抗击艾滋病、结核病和疟疾基金（GFATM）政策动态中的主导力量，在如何采用、设计、实施和评估全球卫生倡议（GHIs）方面，需要更多的社区参与。然而，我们认为，所确定的许多条件是根深蒂固的，并长期存在于全球健康服务的融资方式和卫生发展援助（DAH）所采用的融资模式中，特别是在资源匮乏的环境中。因此，权力的动态不仅来自传统上根深蒂固的知识权威，而且不成比例地由有利于特定全球卫生保健机构而不是其他机构的全球卫生筹资模式维持。正如我们所争论的，这些DAH模式可能会对政策制定产生有问题的影响。
This article agrees with Lassa et al that biomedical paradigms and medical professionals are a dominating force within the policy dynamics of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) and that there needs to be greater community involvement in how global health initiatives (GHIs) are adopted, designed, implemented and evaluated. However, we argue that many of the conditions identified are entrenched and perpetuated by how GHIs are financed and the financing modalities employed in Development Aid for Health (DAH), particularly in low resource settings. As a result, the dynamics of power not only flow from traditionally entrenched epistemic authorities but are disproportionally sustained by global health financing modalities that favour particular GHIs over others. As we argue, these DAH modalities can exert forms of power with problematic effects on policy-making.
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DOI：
10.34172/ijhpm.2022.6097
发表时间：
2022-12-19
影响因子：
3.5
作者：
Lassa S;Saddiq M;Owen J;Burton C;Balen J
通讯作者：
Balen J
影响因子：
10.8
作者：
Holst, Jens;van de Pas, Remco
通讯作者：
van de Pas, Remco
DOI：
10.1016/s0140-6736(21)02344-8
发表时间：
2022-01-29
期刊：
Lancet (London, England)
影响因子：
--
作者：
Moon S;Armstrong J;Hutler B;Upshur R;Katz R;Atuire C;Bhan A;Emanuel E;Faden R;Ghimire P;Greco D;Ho CW;Kochhar S;Schaefer GO;Shamsi-Gooshki E;Singh JA;Smith MJ;Wolff J
通讯作者：
Wolff J
影响因子：
3
作者：
Brown, Garrett Wallace
通讯作者：
Brown, Garrett Wallace
影响因子：
1.4
作者：
Kadungure, Artwell;Brown, Garrett Wallace;Gwati, Gwati
通讯作者：
Gwati, Gwati