The online version of this article (doi:10.1186/1475-2875-11-237) contains supplementary material, which is available to authorized users.
The authors declare no competing interests.
JM completed his PhD at the University of New South Wales. This study was part of his PhD thesis. JM was involved in conceptualizing this study, conducting data collection, data analysis, writing the first draft of this paper and contributed to all stages of the paper until finalization. AZ supervised JM PhD studies. AZ contributed to conceptualizing this research and data analysis, and contributed to each stage of the write up and finalization of the paper. PK co-supervised JM's PhD studies. PK was involved in study design, data analysis and presentation, and all aspects of the write-up for publication. All authors read and approved the final manuscript.
In 2003, Timor-Leste successfully obtained its first Global Fund grant for a three-year programme for malaria control. The grant aimed to reduce malaria-related morbidity and mortality by 30 % by the end of the implementation.
A mixed-methods approach was used to assess the impact of the grant implementation. Fifty-eight in-depth interviews, eight group interviews, 16 focus group discussions, and on-site observations were used. Morbidity data reported to the Ministry of Health were also examined to assess trends.
The National Malaria Programme with funding support from the Global Fund grant and other development partners contributed considerably to strengthening malaria control and the general health system. It also brought direct and indirect benefits to pregnant women and to the community at large. However, it failed to achieve the stated objective of reducing malaria morbidity and mortality by 30 %. The implementation was hampered by inadequate human resources, the rigidity of Global Fund rules, weak project management and coordination, and inadequate support from external stakeholders.
Despite limitations, the grant was implemented until the agreed closing date. Considerable contributions to malaria control, health system, and the community have been made and the malaria programme was sustained.
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- Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?
João Soares Martins
Anthony B Zwi
Paul M Kelly
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