Critical barriers to sustainable capacity strengthening in global health: a systems perspective on development assistance.

ABSTRACT: Background: Development assistance for health (DAH) is an important mechanism for funding and technical support to low-income countries. Despite increased DAH spending, intractable health challenges remain. Recent decades have seen numerous efforts to reform DAH models, yet pernicious challenges persist amidst structural complexities and a growing number of actors. Systems-based approaches are promising for understanding these types of complex adaptive systems. This paper presents a systems-based understanding of DAH, including barriers to achieving sustainable and effective country-driven models for technical assistance and capacity strengthening to achieve better outcomes Methods: We applied an innovative systems-based approach to explore and map how donor structures, proce

SUBMITTER: Knittel B 

PROVIDER: S-EPMC9646484 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature