The Global Fund to Fight AIDS, TB and Malaria & Health Systems Strengthening: An Organizational and Policy Analysis

摘要: Background: Over the last twenty years, despite unprecedented new resources to global health, there has been insufficient progress achieve health-related 2015 Millennium Development Goals. Health systems have perceived as binding constraint. Major health agencies expanded their funding priorities from disease specific programs include support for strengthening. Strengthening broadly is beyond mandate of such Global Fund. Nonetheless, since its inception, Fund supported systems; however, it had a long-running organizational struggle with how do it. Mechanisms varied, and proposals consistently lower quality than proposals. The Technical Review Panel criticized lack clarity about what means by strengthening called into question Fund's ability effective responses constraints. Purpose: purpose this dissertation present case study policies strategy on using lens neo-institutional theory. This explores role legitimacy cognitive beliefs held stakeholders in environment played shaping Methods: Qualitative research methods are used examine members Board delegations these Official documents were reviewed primary data was gathered through 31 semi-structured in-depth interviews delegations, Secretariat, Partner organizations other relevant complement document review. Findings: (1) system vague concept. (2) Depending context, two meanings - technical one political one. (3) There dispute over constitutes acceptable work. (4) essential success Fund, but disagreement whether should engage strengthening; if does, how, extent. (5) Linking measurable outcomes legitimacy. scope mandate, current capacity design. ought focus does well, which financing scale up inputs. Systems Funding Platform provides an opportunity public way that will appease key still allow stay within bounds disease-specific mission.