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Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?
BACKGROUND: In 2003, Timor-Leste successfully obtained its first Global Fund grant for a three-year programme for malaria control. The grant aimed to reduce malaria-related morbidity and mortality by 30 % by the end of the implementation. METHODS: A mixed-methods approach was used to assess the impa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502152/ https://www.ncbi.nlm.nih.gov/pubmed/22823965 http://dx.doi.org/10.1186/1475-2875-11-237 |
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author | Martins, João Soares Zwi, Anthony B Kelly, Paul M |
author_facet | Martins, João Soares Zwi, Anthony B Kelly, Paul M |
author_sort | Martins, João Soares |
collection | PubMed |
description | BACKGROUND: In 2003, Timor-Leste successfully obtained its first Global Fund grant for a three-year programme for malaria control. The grant aimed to reduce malaria-related morbidity and mortality by 30 % by the end of the implementation. METHODS: A mixed-methods approach was used to assess the impact of the grant implementation. Fifty-eight in-depth interviews, eight group interviews, 16 focus group discussions, and on-site observations were used. Morbidity data reported to the Ministry of Health were also examined to assess trends. RESULTS: The National Malaria Programme with funding support from the Global Fund grant and other development partners contributed considerably to strengthening malaria control and the general health system. It also brought direct and indirect benefits to pregnant women and to the community at large. However, it failed to achieve the stated objective of reducing malaria morbidity and mortality by 30 %. The implementation was hampered by inadequate human resources, the rigidity of Global Fund rules, weak project management and coordination, and inadequate support from external stakeholders. CONCLUSION: Despite limitations, the grant was implemented until the agreed closing date. Considerable contributions to malaria control, health system, and the community have been made and the malaria programme was sustained. |
format | Online Article Text |
id | pubmed-3502152 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35021522012-11-21 Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? Martins, João Soares Zwi, Anthony B Kelly, Paul M Malar J Research BACKGROUND: In 2003, Timor-Leste successfully obtained its first Global Fund grant for a three-year programme for malaria control. The grant aimed to reduce malaria-related morbidity and mortality by 30 % by the end of the implementation. METHODS: A mixed-methods approach was used to assess the impact of the grant implementation. Fifty-eight in-depth interviews, eight group interviews, 16 focus group discussions, and on-site observations were used. Morbidity data reported to the Ministry of Health were also examined to assess trends. RESULTS: The National Malaria Programme with funding support from the Global Fund grant and other development partners contributed considerably to strengthening malaria control and the general health system. It also brought direct and indirect benefits to pregnant women and to the community at large. However, it failed to achieve the stated objective of reducing malaria morbidity and mortality by 30 %. The implementation was hampered by inadequate human resources, the rigidity of Global Fund rules, weak project management and coordination, and inadequate support from external stakeholders. CONCLUSION: Despite limitations, the grant was implemented until the agreed closing date. Considerable contributions to malaria control, health system, and the community have been made and the malaria programme was sustained. BioMed Central 2012-07-23 /pmc/articles/PMC3502152/ /pubmed/22823965 http://dx.doi.org/10.1186/1475-2875-11-237 Text en Copyright ©2012 Martins et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Martins, João Soares Zwi, Anthony B Kelly, Paul M Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? |
title | Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? |
title_full | Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? |
title_fullStr | Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? |
title_full_unstemmed | Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? |
title_short | Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste? |
title_sort | did the first global fund grant (2003–2006) contribute to malaria control and health system strengthening in timor-leste? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502152/ https://www.ncbi.nlm.nih.gov/pubmed/22823965 http://dx.doi.org/10.1186/1475-2875-11-237 |
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