Health Intervention and Technology Assessment Program (HITAP), Department of Health, Ministry of Public Health, 6th floor, 6th Building, Tiwanon Rd,, Nonthaburi 11000, Thailand.
Global Health. 2013 Aug 21;9:35. doi: 10.1186/1744-8603-9-35.
The Global Fund is experiencing increased pressure to optimize results and improve its impact per dollar spent. It is also in transition from a provider of emergency funding, to a long-term, sustainable financing mechanism. This paper assesses the efficacy of current Global Fund investment and examines how health technology assessments (HTAs) can be used to provide guidance on the relative priority of health interventions currently subsidized by the Global Fund. In addition, this paper identifies areas where the application of HTAs can exert the greatest impact and proposes ways in which this tool could be incorporated, as a routine component, into application, decision, implementation, and monitoring and evaluation processes. Finally, it addresses the challenges facing the Global Fund in realizing the full potential of HTAs.
全球基金面临着提高成果优化和每美元投入效果的压力,同时也正在从紧急供资提供者向长期可持续供资机制过渡。本文评估了当前全球基金投资的效果,并探讨了如何利用卫生技术评估(HTA)为目前由全球基金资助的卫生干预措施的相对优先次序提供指导。此外,本文还确定了应用 HTA 可以产生最大影响的领域,并提出了将这一工具作为常规组成部分纳入申请、决策、实施以及监测和评价过程的方法。最后,本文还探讨了全球基金在充分发挥 HTA 潜力方面面临的挑战。