Abstract

http://ssrn.com/abstract=1980126
 


 



Using Global Health Initiatives to Strengthen Health Systems: A Civil Society Perspective


Jennifer Cohn


University of Pennsylvania - Department of Medicine, Division of Infectious Diseases

Asia Russell


Health GAP

Brook K. Baker


Northeastern University - School of Law

Alice Kayongo


Uganda Community-Based Association for Child Welfare

Esther Wanjiku


GROOTS Kenya

Paul Davis


Health GAP

October 1, 2011

Global Public Health, Vol. 6, No. 7, pp. 687-702, October 2011
Northeastern University School of Law Research Paper No. 73-2012

Abstract:     
Research into the effects of global health initiatives (GHIs) on health systems has largely left out the viewpoints and contributions of civil society. This study details civil society's perspective regarding the effects of two GHIs, the US President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), on country health systems and the added value of civil society interacting with GHIs to strengthen health systems.

The study employed qualitative data collection methods using semi-structured interviews administered during focus groups and key informant interviews. A range of health system stakeholders were interviewed in Kenya, Malawi, Uganda and Zambia. Data were coded and analysed for themes and sub-themes.

In total, 2910 civil society participants provided information individually or in focus groups. Respondents reported that GHIs have contributed to dramatic health benefits within and outside of a disease-specific focus, including health systems strengthening efforts. However, opportunities for synergy between GHIs and health systems have been missed, and GHIs have not worked sufficiently to close capacity gaps of grassroots civil society organisations. Despite some governance innovations, civil society's opportunities to participate meaningfully in GHI priority setting efforts are limited. Recommendations are included on how to best use GHIs to strengthen health systems by partnering with civil society.

Accepted Paper Series





Not Available For Download

Date posted: January 5, 2012  

Suggested Citation

Cohn, Jennifer and Russell, Asia and Baker, Brook K. and Kayongo, Alice and Wanjiku, Esther and Davis, Paul, Using Global Health Initiatives to Strengthen Health Systems: A Civil Society Perspective (October 1, 2011). Global Public Health, Vol. 6, No. 7, pp. 687-702, October 2011; Northeastern University School of Law Research Paper No. 73-2012. Available at SSRN: http://ssrn.com/abstract=1980126

Contact Information

Jennifer Cohn (Contact Author)
University of Pennsylvania - Department of Medicine, Division of Infectious Diseases ( email )
3400 Spruce Street
3rd Floor Silverstein, Suite D
Philadelphia, PA 19104
United States
Asia Russell
Health GAP ( email )
429 W. 127th St., 2nd Floor
New York, NY 10027
United States
Brook K. Baker
Northeastern University - School of Law ( email )
400 Huntington Ave.
Boston, MA 02115
United States
Alice Kayongo
Uganda Community-Based Association for Child Welfare ( email )
PO Box 7449
Kampala
Uganda
Esther Wanjiku
GROOTS Kenya
PO Box 10320-00100
Nairobi
Kenya
Paul Davis
Health GAP ( email )
429 W. 127th St., 2nd Floor
New York, NY 10027
United States
Feedback to SSRN


Paper statistics
Abstract Views: 417

© 2014 Social Science Electronic Publishing, Inc. All Rights Reserved.  FAQ   Terms of Use   Privacy Policy   Copyright   Contact Us
This page was processed by apollo7 in 0.250 seconds