The Global Fund has long been the largest international assistance in human immunodeficiency virus(HIV)responses for three Southeast Asian countries,including Myanmar,Laos,and Vietnam.However,it recently decided to re...The Global Fund has long been the largest international assistance in human immunodeficiency virus(HIV)responses for three Southeast Asian countries,including Myanmar,Laos,and Vietnam.However,it recently decided to reduce or withdraw its funding from countries not yet going through donor phase out,aiming to make these countries respond with their own resources.In examining whether these three countries are well-prepared to donor transition,we uncover potential challenges that will appear in their healthcare systems and especially in the prevention and control for vulnerable populations.By reviewing China's succesful experience in donor transition,we propose recommendations for these pre transition countries,in terms of program operation,budget allocation,and social stigmatization.展开更多
Background:The Global Fund has been a major funding source for HIV/AIDS programs in Myanmar.In this qualitative study,we aim to understand the impact of Global Fund on national HIV/AIDS response in Myanmar during the ...Background:The Global Fund has been a major funding source for HIV/AIDS programs in Myanmar.In this qualitative study,we aim to understand the impact of Global Fund on national HIV/AIDS response in Myanmar during the era of Millennium Development Goals(MDGs).Methods:We conducted individual in-depth interviews by recruiting key informants through purposive snowball sampling.The respondents were engaged in the national/subnational response to HIV/AIDS in Myanmar and worked for the United Nations agencies,non-governmental organizations(NGOs),and civil society.Interview questions were organized around the role of Global Fund in strengthening national response to HIV/AIDS in the six building blocks of the Myanmar’s health system.Transcripts from the key informants were synthesized into specific themes through a deductive approach.Results:We found that the Global Fund has provided substantial support to(1)finance the national HIV/AIDS response in Myanmar,and(2)strengthen leadership and governance at the central level through improving coordination and collaboration,including more stakeholders(e.g.civil society,NGOs)in decision making process,and catalyzing policy changes on scaling-up key interventions.Yet,its role remains limited in addressing new demands at the township level in terms of capacity building,staffing,and medical supply resulting from rapid scale-up of HIV interventions and decentralization of service delivery in the public sector.Conclusion:There was a missed opportunity for Myanmar to capitalize on the use of the Global Fund’s funding to strengthen the health system.Deliberate planning is required to optimize the use of those scarce resources to provide universal coverage for HIV/AIDS.展开更多
基金supported in part by the National Natural Science Foundation of China(Grant No.71904171)the Fundamental Research Funds for the Central Universities(Grant No.2020QNA7021)China Medical Board(Project No.202032).
文摘The Global Fund has long been the largest international assistance in human immunodeficiency virus(HIV)responses for three Southeast Asian countries,including Myanmar,Laos,and Vietnam.However,it recently decided to reduce or withdraw its funding from countries not yet going through donor phase out,aiming to make these countries respond with their own resources.In examining whether these three countries are well-prepared to donor transition,we uncover potential challenges that will appear in their healthcare systems and especially in the prevention and control for vulnerable populations.By reviewing China's succesful experience in donor transition,we propose recommendations for these pre transition countries,in terms of program operation,budget allocation,and social stigmatization.
文摘Background:The Global Fund has been a major funding source for HIV/AIDS programs in Myanmar.In this qualitative study,we aim to understand the impact of Global Fund on national HIV/AIDS response in Myanmar during the era of Millennium Development Goals(MDGs).Methods:We conducted individual in-depth interviews by recruiting key informants through purposive snowball sampling.The respondents were engaged in the national/subnational response to HIV/AIDS in Myanmar and worked for the United Nations agencies,non-governmental organizations(NGOs),and civil society.Interview questions were organized around the role of Global Fund in strengthening national response to HIV/AIDS in the six building blocks of the Myanmar’s health system.Transcripts from the key informants were synthesized into specific themes through a deductive approach.Results:We found that the Global Fund has provided substantial support to(1)finance the national HIV/AIDS response in Myanmar,and(2)strengthen leadership and governance at the central level through improving coordination and collaboration,including more stakeholders(e.g.civil society,NGOs)in decision making process,and catalyzing policy changes on scaling-up key interventions.Yet,its role remains limited in addressing new demands at the township level in terms of capacity building,staffing,and medical supply resulting from rapid scale-up of HIV interventions and decentralization of service delivery in the public sector.Conclusion:There was a missed opportunity for Myanmar to capitalize on the use of the Global Fund’s funding to strengthen the health system.Deliberate planning is required to optimize the use of those scarce resources to provide universal coverage for HIV/AIDS.
