Universidad Peruana Cayetano Heredia

After the Global Fund: Who can sustain the HIV/AIDS response in Peru and how?

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dc.contributor.author Amaya, Ana B.
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.contributor.author Spicer, Neil
dc.contributor.author Balabanova, Dina
dc.date.accessioned 2022-01-04T20:29:58Z
dc.date.available 2022-01-04T20:29:58Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/10480
dc.description.abstract Peru has received around $70 million from Global Fund to fight AIDS, Tuberculosis and Malaria (Global Fund). Recent economic growth resulted in grant ineligibility, enabling greater government funding, yet doubts remain concerning programme continuity. This study examines the transition from Global Fund support to increasing national HIV/AIDS funding in Peru (2004–2012) by analysing actor roles, motivations and effects on policies, identifying recommendations to inform decision-makers on priority areas. A conceptual framework, which informed data collection, was developed. Thirty-five in-depth interviews were conducted from October to December 2011 in Lima, Peru, among key stakeholders involved in HIV/AIDS work. Findings show that Global Fund involvement led to important breakthroughs in the HIV/AIDS response, primarily concerning treatment access, focus on vulnerable populations and development of a coordination body. Nevertheless, reliance on Global Fund financing for prevention activities via non-governmental organisations, compounded by lack of government direction and weak regional governance, diluted power and caused role uncertainty. Strengthening government and regional capacity and fostering accountability mechanisms will facilitate an effective transition to government-led financing. Only then can achievements gained from the Global Fund presence be maintained, providing lessons for countries seeking to sustain programmes following donor exit. en_US
dc.language.iso eng
dc.publisher Taylor and Francis
dc.relation.ispartofseries Global Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject HIV en_US
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject Health Promotion en_US
dc.subject HIV Infections en_US
dc.subject actors en_US
dc.subject Financial Support en_US
dc.subject Global Fund en_US
dc.subject governance en_US
dc.subject International Cooperation en_US
dc.subject Policy Making en_US
dc.subject Qualitative Research en_US
dc.subject sustainability en_US
dc.title After the Global Fund: Who can sustain the HIV/AIDS response in Peru and how? en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/17441692.2013.878957
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1744-1706


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