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全球基金:分析弥合健康不平等状况的十年历程

Global fund: Analyzing 10 Years of bridging health inequalities.

机构信息

Slum and Rural Health Initiative Research Academy, Ibadan, Nigeria.

Pan African University of Life and Earth Sciences Institute, PAULESI, Ibadan, Nigeria.

出版信息

Int J Health Plann Manage. 2021 Mar;36(2):282-287. doi: 10.1002/hpm.3096. Epub 2020 Dec 17.

Abstract

The Global Fund is a non-profit organization founded by Bill Gates, Melinda Gates, Kofi Annan, Amir Attaran, and Jeffrey Sachs on the 28th January, 2002. Each year, about US$ 4 billion is invested to support programs and organizations led by local experts in various communities towards developing strategies and ways in which these three (HIV/AIDS, Malaria and Tuberculosis) diseases could be fought. The Global Fund has supported various innovative strategies used in tackling these infectious diseases. It is also worthy of note that 38 million lives have been saved through the Global Funds Partnership resulting in a 50% decline in mortality rate caused by tuberculosis, AIDS and Malaria in these reached countries. However, the Global Fund is not without its challenges as there has been lack of fund commitment from the G8 countries who instituted the idea in the first place. Another limitation being experienced is the poor risk management that has resulted in discrepancies of over US$4 million discovered in the Global Fund grants received by Nigeria as of 2016. This study discusses the current state of the Global Fund and suggests recommendations to policymakers that could be instrumental in strengthening health systems and achieving increased impact.

摘要

全球基金是由比尔·盖茨、梅琳达·盖茨、科菲·安南、阿米尔·阿塔兰和杰弗里·萨克斯于 2002 年 1 月 28 日成立的非营利组织。每年,约有 40 亿美元用于支持由当地专家在各个社区领导的项目和组织,以制定应对这三种(艾滋病毒/艾滋病、疟疾和结核病)疾病的战略和方法。全球基金支持了应对这些传染病的各种创新战略。值得注意的是,通过全球基金伙伴关系挽救了 3800 万人的生命,这导致受援国家的结核病、艾滋病和疟疾死亡率下降了 50%。然而,全球基金并非没有挑战,因为最初提出这一想法的八国集团国家缺乏资金承诺。另一个面临的限制是风险管理不善,这导致截至 2016 年,尼日利亚收到的全球基金赠款中出现了超过 400 万美元的差异。本研究讨论了全球基金的现状,并向决策者提出了建议,这可能有助于加强卫生系统并实现更大的影响。

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