Confronting ‘scale-down’
Assessing Namibia's human resource strategies in the context of decreased HIV/Aids funding
Bibliographic Data
| ID | 15541825 |
|---|---|
| Authors | Liita-Iyaloo Cairney (corresponding author), Anuj Kapilashrami (0000-0002-6719-9216, Queen Margaret University) |
| Year | 2014 |
| Volume | 9 |
| Issue | 1-2 |
| Pages | 198-209 |
| Publication date | 2014-02-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2014.881525 |
| PMID | 24502449 |
| OpenAlex | W1968624209 |
| Language | EN |
| Citations received | 6 |
| References cited | 18 |
In Namibia, support through the Global Fund and President's Emergency Plan for AIDS Relief has facilitated an increase in access to HIV and AIDS services over the past 10 years. In collaboration with the Namibian government, these institutions have enabled the rapid scale-up of prevention, treatment and care services. Inadequate human resources capacity in the public sector was cited as a key challenge to initial scale-up; and a substantial portion of donor funding has gone towards the recruitment of new health workers. However, a recent scale-down of donor funding to the Namibian health sector has taken place, despite the country's high HIV and AIDS burden. With a specific focus on human resources, this paper examines the extent to which management processes that were adopted at scale-up have proven sustainable in the context of scale-down. Drawing on data from 43 semi-structured interviews, we argue that human resources planning and management decisions made at the onset of the country's relationship with the two institutions appear to be primarily driven by the demands of rapid scale-up and counter-productive to the sustainability of interventions
Business · Context (archaeology · Economic growth · Economics · Geography · Government (linguistics · Human resources · Political science · Psychological intervention · Public health · Public relations · Public sector · Scale (ratio · Sustainability · Global Maternal and Child Health · HIV/AIDS Impact and Responses · Medicine · Nursing · Poverty, Education, and Child Welfare
Coping with out-of-pocket health payments
Financing of global health
Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric?
The 'diagonal' approach to Global Fund financing
The impact of Global Health Initiatives at national and sub-national level – a policy analysis of their role in implementation processes of antiretroviral treatment (ART) roll-out in Zambia and South Africa
The Global Fund and the re-configuration and re-emergence of ‘civil society’
How HIV/Aids scale-up has impacted on non- HIV priority services in Zambia
The effects of global health initiatives on country health systems
Improving the long-term sustainability of health aid
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,55 |
| Citation span | 2015 - 2022 (8) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |