Centre for Research on Health and Social Care Management (CERGAS), Bocconi University, Milano, Italy.
Health Policy Plan. 2013 May;28(3):299-308. doi: 10.1093/heapol/czs060. Epub 2012 Jul 4.
Although civil society advocacy for health issues such as HIV transmission through injecting drug use is higher on the global health agenda than previously, its impact on national policy reform has been limited. In this paper we seek to understand why this is the case through an examination of civil society advocacy efforts to reform HIV/AIDS and drugs-related policies and their implementation in three former Soviet Union countries. In-depth semi-structured interviews were conducted in Georgia, Kyrgyzstan and Ukraine by national researchers with representatives from a sample of 49 civil society organizations (CSOs) and 22 national key informants. We found that Global Fund support resulted in the professionalization of CSOs, which increased confidence from government and increased CSO influence on policies relating to HIV/AIDS and illicit drugs. Interviewees also reported that the amount of funding for advocacy from the Global Fund was insufficient, indirect and often interrupted. CSOs were often in competition for Global Fund support, which caused resentment and limited collective action, further weakening capacity for effective advocacy.
虽然民间社会倡导解决艾滋病毒经注射吸毒传播等卫生问题在全球卫生议程上的重要性高于以往，但它对国家政策改革的影响有限。本文通过考察民间社会为改革艾滋病毒/艾滋病和毒品相关政策所作的努力及其在三个前苏联国家的执行情况，试图了解其中的原因。格鲁吉亚、吉尔吉斯斯坦和乌克兰的国家研究人员对来自 49 个民间社会组织（CSO）和 22 名国家关键知情人样本的代表进行了深入的半结构化访谈。我们发现，全球基金的支持使民间社会组织专业化，从而增强了政府的信心，并增加了民间社会组织对艾滋病毒/艾滋病和非法药物相关政策的影响力。受访者还报告称，全球基金用于宣传倡导的资金不足、间接且经常中断。民间社会组织经常为获得全球基金的支持而相互竞争，这引起了怨恨，限制了集体行动，进一步削弱了有效倡导的能力。
