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dc.contributor.authorKapilashrami, Anuj
dc.contributor.authorHanefeld, J.
dc.date.accessioned2018-06-29T22:02:54Z
dc.date.available2018-06-29T22:02:54Z
dc.date.issued2014-02
dc.identifierER3389
dc.identifier.citationKapilashrami, A. & Hanefeld, J. (2014) Meaningful change or more of the same? The Global Fund's new funding model and the politics of HIV scale-up, Global Public Health, vol. 9, , pp. 160-175,
dc.identifier.issn1744-1692
dc.identifier.urihttp://dx.doi.org/10.1080/17441692.2014.881524
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3389
dc.description.abstractAs we enter the fourth decade of HIV and AIDS, sustainability of treatment and prevention programmes is a growing concern in an environment of shrinking resources. The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) will be critical to maintaining current trajectories of scale-up and ultimately, ensuring access to HIV treatment and prevention for people in low/middle-income countries. The authors' prior research in India, Zambia and South Africa contributed evidence on the politics and impact of new institutional and funding arrangements, revealing a 'rhetoric-reality gap' in their impact on health systems, civil society participation, and achievement of population health. With its new funding strategy and disbursement model, the Fund proposes dramatic changes to its approach, emphasising value for money, greater fund predictability and flexibility and more proactive engagement in recipient countries, while foregrounding a human rights approach. This paper reviews the Fund's new strategy and examines its potential to respond to key criticisms concerning health systems impact, particularly the elite nature of this funding mechanism that generates competition between public and private sectors and marginalises local voices. The authors analyse strategy documents against their own research and published literature and reflect on whether the changes are likely to address challenges faced in bringing HIV programmes to scale and their likely effect on AIDS politics. 2014 2014 Taylor & Francis.
dc.format.extent160-175
dc.publisherTaylor & Francis
dc.relation.ispartofGlobal Public Health
dc.titleMeaningful change or more of the same? The Global Fund's new funding model and the politics of HIV scale-up
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_iih
dc.description.volume9
dc.description.ispublishedpub
dc.description.eprintid3389
rioxxterms.typearticle
qmu.authorKapilashrami, Anuj
dc.description.statuspub
dc.description.number01-Feb


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