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Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study

BACKGROUND: The Global Fund has been a major funding source for HIV/AIDS programs in Myanmar. In this qualitative study, we aim to understand the impact of Global Fund on national HIV/AIDS response in Myanmar during the era of Millennium Development Goals (MDGs). METHODS: We conducted individual in-...

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Autores principales: Htun, Zarni, Zhao, Yingxi, Gilbert, Hannah, Lu, Chunling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8351103/
https://www.ncbi.nlm.nih.gov/pubmed/34372945
http://dx.doi.org/10.1186/s41256-021-00212-4
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author Htun, Zarni
Zhao, Yingxi
Gilbert, Hannah
Lu, Chunling
author_facet Htun, Zarni
Zhao, Yingxi
Gilbert, Hannah
Lu, Chunling
author_sort Htun, Zarni
collection PubMed
description BACKGROUND: The Global Fund has been a major funding source for HIV/AIDS programs in Myanmar. In this qualitative study, we aim to understand the impact of Global Fund on national HIV/AIDS response in Myanmar during the era of Millennium Development Goals (MDGs). METHODS: We conducted individual in-depth interviews by recruiting key informants through purposive snowball sampling. The respondents were engaged in the national/subnational response to HIV/AIDS in Myanmar and worked for the United Nations agencies, non-governmental organizations (NGOs), and civil society. Interview questions were organized around the role of Global Fund in strengthening national response to HIV/AIDS in the six building blocks of the Myanmar’s health system. Transcripts from the key informants were synthesized into specific themes through a deductive approach. RESULTS: We found that the Global Fund has provided substantial support to (1) finance the national HIV/AIDS response in Myanmar, and (2) strengthen leadership and governance at the central level through improving coordination and collaboration, including more stakeholders (e.g. civil society, NGOs) in decision making process, and catalyzing policy changes on scaling-up key interventions. Yet, its role remains limited in addressing new demands at the township level in terms of capacity building, staffing, and medical supply resulting from rapid scale-up of HIV interventions and decentralization of service delivery in the public sector. CONCLUSION: There was a missed opportunity for Myanmar to capitalize on the use of the Global Fund’s funding to strengthen the health system. Deliberate planning is required to optimize the use of those scarce resources to provide universal coverage for HIV/AIDS. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41256-021-00212-4.
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spelling pubmed-83511032021-08-09 Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study Htun, Zarni Zhao, Yingxi Gilbert, Hannah Lu, Chunling Glob Health Res Policy Research BACKGROUND: The Global Fund has been a major funding source for HIV/AIDS programs in Myanmar. In this qualitative study, we aim to understand the impact of Global Fund on national HIV/AIDS response in Myanmar during the era of Millennium Development Goals (MDGs). METHODS: We conducted individual in-depth interviews by recruiting key informants through purposive snowball sampling. The respondents were engaged in the national/subnational response to HIV/AIDS in Myanmar and worked for the United Nations agencies, non-governmental organizations (NGOs), and civil society. Interview questions were organized around the role of Global Fund in strengthening national response to HIV/AIDS in the six building blocks of the Myanmar’s health system. Transcripts from the key informants were synthesized into specific themes through a deductive approach. RESULTS: We found that the Global Fund has provided substantial support to (1) finance the national HIV/AIDS response in Myanmar, and (2) strengthen leadership and governance at the central level through improving coordination and collaboration, including more stakeholders (e.g. civil society, NGOs) in decision making process, and catalyzing policy changes on scaling-up key interventions. Yet, its role remains limited in addressing new demands at the township level in terms of capacity building, staffing, and medical supply resulting from rapid scale-up of HIV interventions and decentralization of service delivery in the public sector. CONCLUSION: There was a missed opportunity for Myanmar to capitalize on the use of the Global Fund’s funding to strengthen the health system. Deliberate planning is required to optimize the use of those scarce resources to provide universal coverage for HIV/AIDS. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41256-021-00212-4. BioMed Central 2021-08-09 /pmc/articles/PMC8351103/ /pubmed/34372945 http://dx.doi.org/10.1186/s41256-021-00212-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Htun, Zarni
Zhao, Yingxi
Gilbert, Hannah
Lu, Chunling
Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
title Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
title_full Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
title_fullStr Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
title_full_unstemmed Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
title_short Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
title_sort role of the global fund in national hiv/aids response in myanmar: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8351103/
https://www.ncbi.nlm.nih.gov/pubmed/34372945
http://dx.doi.org/10.1186/s41256-021-00212-4
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