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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...

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Autores principales: Martins, João Soares, Zwi, Anthony B, Kelly, Paul M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
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.
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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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