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Linking local knowledge with global action: examining the Global Fund to Fight AIDS, Tuberculosis and Malaria through a knowledge system lens

van Kerkhoff, Lorrae; Szlezak, Nicole

Description

New global public health institutions are increasingly emphasizing transparency in decision-making, developing-country ownership of projects and programmes, and merit- and performance-based funding. Such principles imply an institutional response to the challenge of bridging the "know-do gap", by basing decisions explicitly on results, evidence and best practice. Using a knowledge systems framework, we examine how the Global Fund to fight AIDS, Tuberculosis and Malaria has affected the ways...[Show more]

dc.contributor.authorvan Kerkhoff, Lorrae
dc.contributor.authorSzlezak, Nicole
dc.date.accessioned2009-06-17T05:30:41Z
dc.date.accessioned2010-12-20T06:02:50Z
dc.date.available2009-06-17T05:30:41Z
dc.date.available2010-12-20T06:02:50Z
dc.identifier.citationBulletin of the World Health Organization 84.8 (2006): 629-635
dc.identifier.issn0042-9686
dc.identifier.urihttp://hdl.handle.net/10440/498
dc.identifier.urihttp://digitalcollections.anu.edu.au/handle/10440/498
dc.description.abstractNew global public health institutions are increasingly emphasizing transparency in decision-making, developing-country ownership of projects and programmes, and merit- and performance-based funding. Such principles imply an institutional response to the challenge of bridging the "know-do gap", by basing decisions explicitly on results, evidence and best practice. Using a knowledge systems framework, we examine how the Global Fund to fight AIDS, Tuberculosis and Malaria has affected the ways in which knowledge is used in efforts to combat these diseases. We outline the formal knowledge system embedded in current rules and practices associated with the Global Fund's application process, and give three examples that illustrate the complexity of the knowledge system in action: human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) policy in China; successful applications from Haiti; and responses to changing research on malaria. These examples show that the Global Fund has created strong incentives for knowledge to flow to local implementers, but with little encouragement and few structures for the potentially valuable lessons from implementation to flow back to global best practice or research-based knowledge. The Global Fund could play an influential role in fostering much-needed learning from implementation. We suggest that three initial steps are required to start this process: acknowledging shared responsibility for learning across the knowledge system; analysing the Global Fund's existing data (and refining data collection over time); and supporting recipients and technical partners to invest resources in linking implementarion with best practice and research.
dc.format7 pages
dc.publisherWorld Health Organization (WHO Press)
dc.sourceBulletin of the World Health Organization
dc.source.urihttp://www.who.int/bulletin/volumes/84/8/05-028704.pdf
dc.subjectKeywords: acquired immune deficiency syndrome; decision making; malaria; public health; traditional knowledge; tuberculosis; acquired immune deficiency syndrome; China; developing country; evidence based practice; financial management; funding; Haiti; health care p
dc.titleLinking local knowledge with global action: examining the Global Fund to Fight AIDS, Tuberculosis and Malaria through a knowledge system lens
dc.typeJournal article
local.identifier.citationvolume84
dcterms.dateAccepted2006-05-23
dc.date.issued2006
local.identifier.absfor111706
local.identifier.ariespublicationu4054856xPUB90
local.type.statusPublished Version
local.contributor.affiliationvan Kerkhoff, Lorrae, National Centre for Epidemiology and Population Health
local.contributor.affiliationSzlezak, Nicole, Harvard University
local.bibliographicCitation.issue8
local.bibliographicCitation.startpage629
local.bibliographicCitation.lastpage635
local.identifier.doi10.2471/BLT.05.028704
dc.date.updated2015-12-08T08:37:34Z
local.identifier.scopusID2-s2.0-33748366189
CollectionsANU Research Publications

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