Linking programmes and systems: Lessons from the GAVI Health Systems Strengthening window

Galichet, B., Goeman, L., Hill, P. S., Essengue, M. S., Hammami, N., Porignon, D., Kadama, P. and Van Lerberghe, W. (2010) Linking programmes and systems: Lessons from the GAVI Health Systems Strengthening window. Tropical Medicine and International Health, 15 2: 208-215. doi:10.1111/j.1365-3156.2009.02441.x

Author Galichet, B.
Goeman, L.
Hill, P. S.
Essengue, M. S.
Hammami, N.
Porignon, D.
Kadama, P.
Van Lerberghe, W.
Title Linking programmes and systems: Lessons from the GAVI Health Systems Strengthening window
Journal name Tropical Medicine and International Health   Check publisher's open access policy
ISSN 1360-2276
Publication date 2010-02
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1365-3156.2009.02441.x
Volume 15
Issue 2
Start page 208
End page 215
Total pages 8
Editor Susanne Groener
Place of publication Oxford, U.K
Publisher Blackwell Science
Collection year 2011
Language eng
Formatted abstract
Objectives  To analyse the first four rounds of country applications to the GAVI Alliance Health Systems Strengthening (GAVI-HSS) funding window; to provide valuable insight into how countries prioritize, articulate and propose solutions for health system constraints through the GAVI-HSS application process and to examine the extent to which this process embodies alignment and harmonization, Principles of the Paris Declaration.

Methods  The study applied multiple criteria to analyse 48 funding applications from 40 countries, submitted in the first four rounds, focusing on the country analysis of health systems constraints, coordination mechanisms, alignment with national and sector planning processes, inclusiveness of the planning processes and stakeholder engagement.

Results  The applications showed diversity in the health systems constraints identified and the activities proposed. Requirements of GAVI for sector oversight and coordination, and the management of the application process through the Ministry of Health’s Planning Department, resulted in strong alignment with government policy and planning processes and good levels of stakeholder inclusion and local technical support (TS).

Conclusion  Health Systems Strengthening initiatives for global health partnerships (GHPs) can provide a link between the programmatic and the systemic, influencing policy alignment and harmonization of processes. The applications strengthened in-country coordination and planning, with countries using existing health sector assessments to identify system constraints, and to propose. Analyses also produced evidence of broad stakeholder inclusiveness, a good degree of proposal alignment with national health plans and policy documents, and engagement of a largely domestic TS network. While the effectiveness of the proposed interventions cannot be determined from this data, the findings provide support for the GAVI-HSS initiative as implementation continues and evaluation begins.
© 2009 Blackwell Publishing Ltd
Keyword GAVI-HSS
Health Systems Strengthening
Global health partnership
Global fund
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 9 DEC 2009.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
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Created: Sun, 31 Jan 2010, 00:00:32 EST