Approaches for delivering aid
The Global Fund operating in SWAp through a common fund: issues and lessons from Mozambique
Integrating disease-specific funding mechanisms with country health systems
Authors:
C. Dickinson; J. MartÃnez; D. Whitaker
Publisher:
HLSP Institute, UK, 2007
This policy brief, published by the HLSP, presents the main lessons learned from integrating the Global Fund with broader health sector support and pooled funding arrangements. It is based on a review of literature, key informant interviews and a country visit to Mozambique.
The paper examines how the Global Fund model is adapting to country systems and suggests conditions that are conducive to the integration of the Global Fund into a Sector Wide approach (SWAp). These include: the existence of a clear Code of Conduct and of harmonisation mechanisms; relatively robust and transparent reporting and accounting systems; an improving monitoring and evaluation system; positions of influence of all sides occupied by individuals with the leadership, vision and determination to pursue this agenda.
The authors conclude that alignment of global programmes’ activities (such as the Global Fund) with national development strategies is essential for effective implementation. Coordination mechanisms should support an agreed sector strategy and strive for inclusiveness if aid is to be made more effective. Although the specific factors conducive to integration of funds are determined by country context, the Mozambique experience is a good example of how global programmes with a unique business model can fit with country led harmonisation and alignment arrangements.
