Lunchtalk #84
12:00 Uhr, OEG 3790
Nguyen Thi Dien (FSO)
Beschäftigung, Ernährungssicherheit und sozialer Schutz für Wanderarbeiter während der COVID-19-Pandemie
Bewerbungsschluss: 15.08.2024
40 Std./Monat zum 01.09.2024
Wissenswertes
The Impact of Donor-State-Civil Society Interaction on the Sustainability of Health Aid. Case Studies of Projects combatting Tuberculosis and HIV/AIDS in Armenia and Kyrgyzstan
PhD project of Gulnaz Isabekova (2015-20), Supervisors: Heiko Pleines, Monika Ewa Kaminska, Kristina JönssonThe collapse of the Soviet Union in 1991 caused political, social, and economic crises and resulted in the deterioration of the healthcare situation and the outbreak of infectious diseases in the region. International development organizations actively participated in healthcare reforms and the majority of health aid to the post-Soviet countries targeted infectious diseases. Health aid ensured access to disease prevention and treatment, which contributed to the improvement of the epidemiological situation in the region. Yet, within the last ten years, the health aid to Eastern Europe and Central Asia (EECA) decreased by almost a third. The drastic decrease in health aid is not necessarily compensated by public spending, which jeopardizes the sustainability of the disease control activities previously covered by donors.
In addition to the reductions of health aid and burden of disease, sustainability of the outcomes achieved in the disease control activities in the EECA region, as elsewhere in the world, is further challenged by the problems of aid fragmentation and limited involvement of aid recipients. Multiple initiatives, such as the Paris Declaration on Aid Effectiveness (2005), the Accra Agenda for Action (2008) and the Busan Partnership for Effective Development Cooperation 2012, aimed to increase the aid recipient’s ownership and improve the outcomes of development assistance worldwide. A vivid example of these efforts is the Sector Wide Approach (SWAp), under which the health aid follows the national policy and procedures of the aid-recipient government (and not donors). The SWAp is often contrasted to the project-based assistance, which is initiated by donor organizations on an ad hoc basis independently of the national policy of an aid-recipient country.
How does the interaction between the actors influence the sustainability of the health aid? This thesis intends to answer this question on the empirical case study of the the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) projects and the “Community Action for Health” project financed by the Swiss Development Cooperation. Bearing in mind the difference that the SWAp and the project-based assistance can make to the interaction between the actors and possibly to the sustainability of projects, this thesis analyzes these health projects in the two settings. Kyrgyzstan is one of the few countries worldwide which have implemented the SWAp to healthcare. Armenia, on the other hand, like the majority of other countries in the EECA region, uses project-based assistance for health aid.
Despite its very specific focus on the healthcare programs financed by the Global Fund and the Swiss Development Cooperation in the context of two post-Soviet countries, this thesis aims to provide a general perspective on types of interaction, components of sustainability, and the impact of interaction on sustainability of health aid. By providing a comprehensive analytical framework together with detailed case studies, this thesis is of interest to academics and practitioners working in the area of development and public health, as well as area studies and regional specialists.
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