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Complementary production of Global Public Good for Health

Complementary production of Global Public Good for Health. Measuring Contributions of HIV/AIDS Initiatives. J. Alice Nixon-Thompson. Supported by HGC Project (IIASA). Global Public Goods for Health. Used to promote collective action for global public health since the 1990’ s

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Complementary production of Global Public Good for Health

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  1. Complementary production of Global Public Good for Health Measuring Contributions of HIV/AIDS Initiatives J. Alice Nixon-Thompson Supported by HGC Project (IIASA)

  2. Global Public Goods for Health Used to promote collective action for global public health since the 1990’s Creates a political and policy strategy by which individual countries to address issues on a global scale (Smith and MacKellar, 2007). Provides a framework in which vertical and horizontal approaches can be complementary. The prevention and control of HIV/AIDS, due to its reliance on national health systems, represent unique opportunities to potentially contribute to the complementary production of GPGH (both vertical and horizontal).

  3. Challenges created by asymmetry between the funding of vertical versus horizontal GPGH Weak national health systems have lead to gaps in the production of knowledge and technologies internationally Health system strengthening lacks proper coordination and sector-wide planning because it is funded secondarily through disease-specific initiatives Disease-specific programs are being handicapped by limitations in the national health systems as they try to scale-up; constrained by limitations in national health governance, finance and service delivery subsystems as well as poor infrastructure.

  4. Research Questions & Methods Are HIV/AIDS initiatives currently attempting to contribute to system strengthening and capacity building at the national level beyond their disease-specific areas? Is inclusion of health system strengthening components associated with higher performing HIV/AIDS initiatives? Does the inclusion of other program and an country characteristics affect this relationship? Methods: Using the average grant portfolio performance result as the dependent variable, regression analysis was conducted with including grant characteristics and the average number of health system strengthening components in order to identify factors associated with initiative performance for 305 Global Fund HIV/AIDS grants.

  5. Findings & Conclusions Factors Associated with Grant Performance • Number of Health System Strengthening Components • Grant Duration • WHO Health System Performance Measure • Region Conclusions • HIV/AIDS prevention and control initiatives currently do include health system strengthening but it is unclear if these activities are contributing to either the performance of the vertical program or the overall strengthening of the health system. • If the GPGH perspective is going continue to be used as a means to identify and address global public health threats, it is critical to fully understand the production of these goods as well as the multi-level implications of the theory. • Complementary production of vertical and horizontal GPGH provides a solution to the asymmetries between two types of GPGH. However, mechanisms by which this complementary production is achieved need to be further evaluated

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