Stakeholder perceptions of aid coordination implementation in the Zambian health sector |
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| Institution: | 1. Division of Global Health (IHCAR), Karolinska Institutet, SE-171 77 Stockholm, Sweden;2. Centre for East and South-East Asian Studies, Lund University, Sweden;3. Department of Economics, University of Zambia, Zambia;4. Division of Global Health (IHCAR) and Medical Management Centre, Karolinska Institutet, Sweden;1. Centre de Estudis Epidemiològics sobre les ITS i SIDA de Catalunya (CEEISCAT); ICO/Departament de Salut, Spain;2. Research Department, Stop Sida, Barcelona, Spain;3. Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna, Ramón Llull University, Barcelona, Spain;4. CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain;5. Universitat Autònoma de Barcelona, Spain;6. Centro Nacional de Epidemiología, Unidad de Epidemiología y Conductas de Riesgo, Madrid, Spain;7. Asociación Alaira, Madrid, España;1. International Health Unit, Section of Infectious Diseases and Immunity, Imperial College London, London W12 ONS, UK;2. Department of Primary Care and Public Health, Imperial College London, London;3. Public Health England, London, UK;4. Health Protection Research Unit in Immunisation, London School of Hygiene & Tropical Medicine, London, UK;1. Office of the US Global AIDS Coordinator, Washington, DC, USA;2. The Global Fund, Geneva, Switzerland;3. USAID, Washington, DC, USA;4. UNAIDS, Geneva, Switzerland;5. Partners In Health, Boston, MA, USA;6. RAND, Boston 02116, MA, USA;1. Centre of AIDS Programme of Research in South Africa, Durban, South Africa;2. Department of Epidemiology, Columbia University, New York, NY, USA;1. Ministry of Foreign Affairs, Bezuidenhoutseweg 67, 2594 AC The Hague, Netherlands;2. Ministry of Health, Welfare and Sport, Parnassusplein 5, 2511 VX The Hague, Netherlands;1. UMR CNRS 7253 Heudyasic UTC, Compiègne, France;2. Statistics Department, University of Oviedo, Gijón, Spain |
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| Abstract: | In this study, we analysed stakeholder perceptions of the process of implementing the coordination of health-sector aid in Zambia, Africa. The aim of coordination of health aid is to increase the effectiveness of health systems and to ensure that donors comply with national priorities. With increases in the number of donors involved and resources available for health aid globally, the attention devoted to coordination worldwide has risen. While the theoretical basis of coordination has been relatively well-explored, less research has been carried out on the practicalities of how such coordination is to be implemented. In our study, we focused on potential differences between the views of the stakeholders, both government and donors, on the systems by which health aid is coordinated.A qualitative case study was conducted comprising interviews with government and donor stakeholders in the health sector, as well as document review and observations of meetings. Results suggested that stakeholders are generally satisfied with the implementation of health-sector aid coordination in Zambia. However, there were differences in perceptions of the level of coordination of plans and agreements, which can be attributed to difficulties in harmonizing and aligning organizational requirements with the Zambian health-sector plans. In order to achieve the aims of the Paris Declaration; to increase harmonization, alignment and ownership – resources from donors must be better coordinated in the health sector planning process. This requires careful consideration of contextual constraints surrounding each donor. |
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