Preparations for sustainability and transition from Global Fund support in the Eastern Mediterranean Region.

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Eastern Mediterranean Health Journal Pub Date : 2023-08-31 DOI:10.26719/emhj.23.088

Ghada Muhjazi, Marty Makinen, Samira Abdelrahman, Amel Ben Said, Alex Earle, Hoda Atta, Yvan Hutin

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Abstract

Background: HIV, tuberculosis and malaria (HTM) services receive financial support from the Global Fund and need to plan for sustainability and transition from external funding.

Aim: To recommend actions for addressing key sustainability and transition issues in 15 countries receiving Global Fund grants in the WHO Eastern Mediterranean (EMR) Region.

Methods: We reviewed documents, interviewed key informants, and conducted case studies in Sudan and Tunisia to highlight key considerations for sustainability and transition from Global Fund that is tailored to the EMR and the health system building blocks. Sustainability considerations should align with the health system building blocks, including governance, financing, service delivery, workforce and health product management, with the addition of considerations for key and vulnerable populations because of their particular importance for HIV and tuberculosis services.

Conclusion: While hoping for economic growth and reduction of the burden of HTM, EMR countries need to prepare for transition from Global Fund support. Proactive steps that are tailored to the health system building blocks and address the needs of key and vulnerable populations should progressively increase national capabilities as well as resources dedicated to HTM.

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为东地中海地区全球基金支助的可持续性和过渡做准备。

背景：艾滋病、结核病和疟疾（HTM）服务接受全球基金的资金支持，需要规划外部资金的可持续性和过渡。目的：就世界卫生组织东地中海（EMR）地区接受全球基金赠款的 15 个国家解决关键可持续性和过渡问题的行动提出建议：方法：我们查阅了相关文件，采访了主要信息提供者，并在苏丹和突尼斯开展了案例研究，以强调从全球基金中实现可持续性和过渡的主要考虑因素，这些因素适合东地中海地区和卫生系统的组成部分。可持续性方面的考虑应与卫生系统的组成部分相一致，包括治理、筹资、服务提供、劳动力和卫生产品管理，并增加对关键人群和弱势群体的考虑，因为他们对艾滋病毒和结核病服务尤为重要：在希望经济增长和减少 HTM 负担的同时，EMR 国家需要为从全球基金的支持过渡做好准备。针对卫生系统基石并满足关键和弱势群体需求的积极步骤应逐步提高国家能力，并增加专门用于 HTM 的资源。

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来源期刊

Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

3.30

自引率

4.80%

发文量

112

期刊介绍： The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.