Burkot Camilla, Gilbert Katherine
Development Policy Centre, Crawford School of Public Policy The Australian National University Canberra ACT Australia.
Nossal Institute of Global Health University of Melbourne Melbourne VIC Australia.
Asia Pac Policy Stud. 2021 May;8(2):189-207. doi: 10.1002/app5.320. Epub 2021 May 4.
Malaria elimination has been a recurring policy goal in Solomon Islands and has historically succeeded in attracting substantial donor support. Drawing on literature review and key informant interviews, we examine the influence of foreign aid on malaria control and elimination efforts in Solomon Islands between 2002 and 2016, as a unique case study of an Asia-Pacific country with high malaria burden and high donor funding. While aid appears to have contributed to reduced malaria prevalence, the ways in which aid was delivered in the short term had health systems impacts with implications for the elimination agenda. Key areas that will be critical to the future pursuit of malaria elimination in Solomon Islands include: integration of the vertical malaria program, while strengthening provincial-level service delivery; maximising incentives of performance-based financing modalities; and policy alignment between donors and domestic actors. We conclude by discussing principles exemplified in the case study of broader relevance to malaria-endemic countries.
疟疾消除一直是所罗门群岛反复提出的政策目标，并且在历史上成功吸引了大量捐助方的支持。通过文献综述和关键信息人士访谈，我们考察了2002年至2016年间外国援助对所罗门群岛疟疾控制和消除工作的影响，将其作为一个疟疾负担高且捐助资金多的亚太国家的独特案例研究。虽然援助似乎有助于降低疟疾流行率，但短期内援助的提供方式对卫生系统产生了影响，进而影响消除议程。对所罗门群岛未来疟疾消除工作至关重要的关键领域包括：整合垂直疟疾项目，同时加强省级服务提供；最大化基于绩效的融资模式的激励作用；以及捐助方与国内行为体之间的政策协调一致。我们通过讨论该案例研究中体现的、与疟疾流行国家更广泛相关的原则来得出结论。
