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Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?

Martins, João; Zwi, Anthony B.; Kelly, Paul M.

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BACKGROUND In 2003, Timor-Leste successfully obtained its first Global Fund grant for a three-year programme for malaria control. The grant aimed to reduce malaria-related morbidity and mortality by 30 % by the end of the implementation. METHODS A mixed-methods approach was used to assess the impact of the grant implementation. Fifty-eight in-depth interviews, eight group interviews, 16 focus group discussions, and on-site observations were used. Morbidity data reported to the Ministry of...[Show more]

dc.contributor.authorMartins, João
dc.contributor.authorZwi, Anthony B.
dc.contributor.authorKelly, Paul M.
dc.date.accessioned2016-01-14T23:07:57Z
dc.date.available2016-01-14T23:07:57Z
dc.identifier.issn1475-2875
dc.identifier.urihttp://hdl.handle.net/1885/95395
dc.description.abstractBACKGROUND In 2003, Timor-Leste successfully obtained its first Global Fund grant for a three-year programme for malaria control. The grant aimed to reduce malaria-related morbidity and mortality by 30 % by the end of the implementation. METHODS A mixed-methods approach was used to assess the impact of the grant implementation. Fifty-eight in-depth interviews, eight group interviews, 16 focus group discussions, and on-site observations were used. Morbidity data reported to the Ministry of Health were also examined to assess trends. RESULTS The National Malaria Programme with funding support from the Global Fund grant and other development partners contributed considerably to strengthening malaria control and the general health system. It also brought direct and indirect benefits to pregnant women and to the community at large. However, it failed to achieve the stated objective of reducing malaria morbidity and mortality by 30 %. The implementation was hampered by inadequate human resources, the rigidity of Global Fund rules, weak project management and coordination, and inadequate support from external stakeholders. CONCLUSION Despite limitations, the grant was implemented until the agreed closing date. Considerable contributions to malaria control, health system, and the community have been made and the malaria programme was sustained.
dc.description.sponsorshipJM is in receipt of a scholarship from the Special Programme on Training in Research in Tropical Diseases (TDR). PK was partly funded by a Career Development Award from Australia’s National Health and Medical Research Council.
dc.publisherBioMed Central
dc.rights© 2012 Martins et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceMalaria Journal
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectaged, 80 and over
dc.subjectchild
dc.subjectchild, preschool
dc.subjecteast timor
dc.subjectfemale
dc.subjecthumans
dc.subjectinfant
dc.subjectinfant, newborn
dc.subjectinterviews as topic
dc.subjectmalaria
dc.subjectmale
dc.subjectmiddle aged
dc.subjectprevalence
dc.subjectsurvival analysis
dc.subjectyoung adult
dc.subjectfinancing, organized
dc.titleDid the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume11
dc.date.issued2012-07-23
local.identifier.absfor111700
local.identifier.ariespublicationf5625xPUB3157
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationMartins, Joao, University of New South Wales, Australia
local.contributor.affiliationZwi, Anthony, University of New South Wales, Australia
local.contributor.affiliationKelly, Paul, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National University
local.identifier.essn1475-2875
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage237
local.bibliographicCitation.lastpage10
local.identifier.doi10.1186/1475-2875-11-237
dc.date.updated2016-06-14T08:35:55Z
local.identifier.scopusID2-s2.0-84870180868
local.identifier.thomsonID000311752200002
CollectionsANU Research Publications

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