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Global initiatives and Public Private Partnerships

A trickle or a flood: commitments and disbursement for HIV/AIDS from the Global Fund, PEPFAR, and the World Bank’s Multi-Country AIDS Program (MAP)
Woman holding banknotes
P. Lissac / Panos Pictures

This paper from the Center for Global Development examines the amount of money provided for HIV programmes by the three main global funders since 2004. These three are the Global Fund to Fight AIDS, Tuberculosis and Malaria, the United States President’s Emergency Plan for AIDS Relief and the World Banks’ Multi-Country AIDS Programme.

The major communicable diseases of poverty, especially AIDS, TB and malaria, cause over six million deaths annually, with devastating social and economic impacts. Historically, efforts to tackle the major diseases affecting developing countries have been poorly co-ordinated and financed, resulting in fragmented programmes at country level. Anti-microbial resistance is increasing, while research and development into new drugs has remained inadequate. The eradication of these diseases can be defined as a global public good – where prevention and control activities have substantial cross border benefits.

During the last decade, the global community has recognised the causal links between illhealth, poverty and weak economic growth. The effects of globalisation - growing international migration and economic interdependence - mean that the major diseases of poverty are becoming global priorities. In response, new global initiatives, involving new public and private sector partners, have been set up to provide strong international co-ordination and to mobilise additional finance and skills.

OECD governments and international bodies such as the World Bank have stepped up investments in these areas. New private sector allies have entered the field – especially the philanthropic foundations and pharmaceutical companies. They are forming new international public-private sector partnerships to undertake a wide range of activities, such as research and development of health products, distributing donated or subsidised products, strengthening health service delivery and access to drugs, educating the public, and financing and co-ordinating disease control with national partners.

Below we've selected some of the key areas within this topic and have highlighted a number of recommended readings for each. The accompanying search links take you to more key documents in each area.

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Fairly pricing antiretroviral drugs

( D. Dionisio;C. Fabbri;D. Messeri / Future Medicine , 2009)

Despite progress, antiretroviral therapy coverage in low- and middle-income countries remains poor: only 31% of HIV-infected people in need were receiving treatment in 2007. Obstacles include weak ...

The impact of global health initiatives on equity in financing Uganda's health sector
( Charlotte M Zikusooka;Mark Tumwine;Patrick Tutembe / EQUINET: Network for Equity in Health in Southern Africa , 2009)
Global health initiatives (GHIs) are an emerging and global trend in health that focus on partnerships. The introduction of GHIs in Uganda has had significant impacts on the overall financing of the h...
How global health initiatives impact upon national health systems
( Regien G Biesma;Ruairı´ Brugha;Andrew Harmer / Health Policy and Planning , 2009)
This paper, published by the Health Policy and Planning journal, reviews country-level evidence about the impact of global health initiatives (GHIs), which have had profound effects on recipient count...
Funding flows for health services in fragile states
( A. Canavan;P. Vergeer;O. Bornemisza / KIT Development Policy & Practice , 2008)

During the transition from conflict to peace, the limited health services that exist, mainly provided by humanitarian non-governmental organisations, often come under threat of contraction. The mos...

Country health sector teams in ten countries
( A. Harmer / Department for International Development Health Resource Centre (HRC) , 2008)
This review outlines the current arrangements for country health sector teams (CHSTs) in ten International Health Partnership countries: Burundi, Cambodia, Ethiopia, Kenya, Madagascar, Mali, Mozambiqu...

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