The impact of governance and funding modality of the Global Fund on capacity of middle level managerial staff during the implementation of TB services in Sri Lanka.

Abstract

The study aimed at investigating the impact of governance and funding modalities of Global Fund on the capacity of middle level managerial staff. The said staff plays an important and responsible role for the implementation of tuberculosis control activities in Sri Lanka. The methodology adopted in this study was a qualitative approach and the data collection was relied on in-depth interviews using 'Skype' e-application. Interviews were conducted with nineteen managers who had direct involvement with tuberculosis control activities and Global Fund financing. The study revealed that the participants had both positive and negative influences of the Global Fund on their capacity level; particularly they were challenging to execute tuberculosis control activities under some GF modalities. Finally, based on the interviewed data and analysis this study discussed that how Global Fund governing and funding modalities have significant impacts on the level of capacity programme implementers and how this can affect the implementation of tuberculosis control activities and outcome of the TB control programme in Sri L