Effects of the Global Fund on the health system

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Semigina, Tetyana
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Ukraine has one of the most rapidly growing HIV/AIDS epidemics in Europe, with estimated numbers of people living with HIV/AIDS (PLWHA) reaching 400,000 in 2008. Since 2003, the Global Fund has committed to providing US$ 243 million towards the control of HIV/AIDS in Ukraine. This study examines the impact of Global Fund financing on HIV/AIDS services and the health system in Ukraine. Research was conducted in Kyiv, Odessa and L’viv. The research finds that Global Fund resources have supported a dramatic scale-up of services for PLWHA and at-risk populations. There has been a substantial increase in the number of PLWHA receiving antiretroviral therapy (ART). New laboratory, diagnosis, prevention and support services have been developed. The Global Fund grant has strengthened service delivery by training health workers and supporting the development of HIV/AIDS surveillance systems. Whilst the Global Fund has had a positive impact on governance and leadership, for instance by promoting transparency among government health service providers and improved management practices, cooperation between government and nongovernmental service providers is limited, and coordination structures are weak. Many services financed by the Global Fund are provided by nongovernmental organizations (NGOs) heavily dependent on continued Global Fund support, highlighting issues of sustainability.
health system, AIDS, СНІД, система здоров'я, ВІЛ, HIV
Semigina T. Effects of the Global Fund on the health system / Tetyana Semigina // Interactions between global health initiatives and health systems : Evidence from counties / The Maximizing Positive Synergies Academic Consortium. - June, 2009. - P. 192-200.