Impact of global health governance on country health systems: the case of HIV initiatives in Nigeria.

ABSTRACT:

Background

Three global health initiatives (GHIs) - the US President's Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank Multi-Country HIV/AIDS Program - finance most HIV services in Nigeria. Critics assert that GHIs burden fragile health systems in resource-poor countries and that health system limitations in these countries constrain the achievement of the objectives of GHIs. This study analyzed interactions between HIV GHIs and the Nigerian Health System and explored how the impact of the GHIs could be optimized.

Methods

A country case study was conducted using qualitative methods, including: semi-structured interviews, direct observation, and archival review. Semi-structured interviews were held with key informant

SUBMITTER: Chima CC 

PROVIDER: S-EPMC4416331 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature