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Background and coordination structures

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Background and coordination structures - PowerPoint PPT Presentation


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The missing link? Non-government organisations and district level HIV/AIDS programme coordination in Zambia Aisling Walsh (Royal College of Surgeons in Ireland) Joseph Simbaya (University of Zambia) Phillimon Ndubani (University of Zambia) Ruairi Brugha (Royal College of Surgeons in Ireland)

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The missing link? Non-government organisations and district level HIV/AIDS programme coordination in Zambia

  • Aisling Walsh (Royal College of Surgeons in Ireland)
  • Joseph Simbaya (University of Zambia)
  • Phillimon Ndubani (University of Zambia)
  • Ruairi Brugha (Royal College of Surgeons in Ireland)
  • www.ghinet.org
  • Funders: Open Society Institute
  • Network Funders: Irish Aid and Danida
background and coordination structures
Background and coordination structures
  • Huge increase in funding for HIV – Global Fund, World Bank and PEPFAR
  • NGO numbers increased tenfold in Zambia since 1990s
methods
Methods
  • 53 qualitative interviews (2 rounds – Jan 2007 & June 2008)
    • District Health Management Teams
    • Health facility managers
    • Mangers of NGOs and CBOs
    • District AIDS Coordination Advisors
    • Members of coordination bodies
  • 3 districts
    • 2 urban (Lusaka, Kabwe)
    • 1 rural (Mumbwa)
results ngos have supported coordination
Results: NGOs have supported coordination

+ Registration of NGOs to district bodies increased

+NGOs were active participants in coordination bodies (leading role)

  • Sharing of transport
  • Organising VCT days

+ Improved communication and information sharing

  • Referral networks
  • Mapping
results ngos have undermined coordination
Results: NGOs have undermined coordination

−− Some NGOs sidestepped district coordination structures (PEPFAR primarily)

−− Competition among NGOs for funds

−− Multiple systems of reporting

Consequences ?

Service duplication

Inability to identify service gaps

Fragmentation of services

Service imbalances

key message and recommendations
Key message and Recommendations

Why is this happening?

  • Vertical donor funding, mainly PEPFAR
  • Government have not defined roles of sub-national bodies

Recommendations

  • GHIs and other donors should make the granting of funds conditional on recipients registering with district coordination bodies.
  • Government should formalise the positions of different sub-national bodies
slide7

RCSI

Irish Aid Danida

LSHTM

USAID

SWEF

Health 20/20

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