After the Global Fund

Who can sustain the HIV/Aids response in Peru and how

Dados Bibliográficos

ID15540274
AutoresAna B Amaya (0000-0001-8329-4726, London School of Hygiene & Tropical Medicine, autor correspondente), Carlos F Cáceres (0000-0002-8101-0790, Universidad Peruana Cayetano Heredia), Neil Spicer (0000-0003-3451-8003, London School of Hygiene & Tropical Medicine), Dina Balabanova (0000-0001-7163-3428, London School of Hygiene & Tropical Medicine)
Ano2014
Volume9
Fascículo1-2
Páginas176-197
Data de publicação2014-02-05
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2013.878957
PMID24499125
OpenAlexW2063663692
IdiomaEN
Citações recebidas11
Referências citadas32

Peru has received around $70 million from Global Fund to fight AIDS, Tuberculosis and Malaria (Global Fund). Recent economic growth resulted in grant ineligibility, enabling greater government funding, yet doubts remain concerning programme continuity. This study examines the transition from Global Fund support to increasing national HIV/AIDS funding in Peru (2004-2012) by analysing actor roles, motivations and effects on policies, identifying recommendations to inform decision-makers on priority areas. A conceptual framework, which informed data collection, was developed. Thirty-five in-depth interviews were conducted from October to December 2011 in Lima, Peru, among key stakeholders involved in HIV/AIDS work. Findings show that Global Fund involvement led to important breakthroughs in the HIV/AIDS response, primarily concerning treatment access, focus on vulnerable populations and development of a coordination body. Nevertheless, reliance on Global Fund financing for prevention activities via non-governmental organisations, compounded by lack of government direction and weak regional governance, diluted power and caused role uncertainty. Strengthening government and regional capacity and fostering accountability mechanisms will facilitate an effective transition to government-led financing. Only then can achievements gained from the Global Fund presence be maintained, providing lessons for countries seeking to sustain programmes following donor exit

Accountability · Business · Capacity building · Developing country · Economic growth · Economics · Family medicine · Government (linguistics · Human immunodeficiency virus (HIV · Malaria · Political science · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare