Skip to main content
main-content

01.12.2012 | Research | Ausgabe 1/2012 Open Access

Malaria Journal 1/2012

Did the first Global Fund grant (2003–2006) contribute to malaria control and health system strengthening in Timor-Leste?

Zeitschrift:
Malaria Journal > Ausgabe 1/2012
Autoren:
João Soares Martins, Anthony B Zwi, Paul M Kelly
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1475-2875-11-237) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare no competing interests.

Authors’ contributions

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.

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.
Zusatzmaterial
Authors’ original file for figure 1
12936_2012_2490_MOESM1_ESM.pdf
Authors’ original file for figure 2
12936_2012_2490_MOESM2_ESM.pdf
Authors’ original file for figure 3
12936_2012_2490_MOESM3_ESM.doc
Authors’ original file for figure 4
12936_2012_2490_MOESM4_ESM.doc
Authors’ original file for figure 5
12936_2012_2490_MOESM5_ESM.doc
Authors’ original file for figure 6
12936_2012_2490_MOESM6_ESM.doc
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

Malaria Journal 1/2012 Zur Ausgabe

Neu im Fachgebiet Innere Medizin

Meistgelesene Bücher aus der Inneren Medizin

2017 | Buch

Rheumatologie aus der Praxis

Entzündliche Gelenkerkrankungen – mit Fallbeispielen

Dieses Fachbuch macht mit den wichtigsten chronisch entzündlichen Gelenk- und Wirbelsäulenerkrankungen vertraut. Anhand von über 40 instruktiven Fallbeispielen werden anschaulich diagnostisches Vorgehen, therapeutisches Ansprechen und der Verlauf …

Herausgeber:
Rudolf Puchner

2016 | Buch

Ambulant erworbene Pneumonie

Was, wann, warum – Dieses Buch bietet differenzierte Diagnostik und Therapie der ambulant erworbenen Pneumonie zur sofortigen sicheren Anwendung. Entsprechend der neuesten Studien und Leitlinien aller wichtigen Fachgesellschaften.

Herausgeber:
Santiago Ewig

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Innere Medizin und bleiben Sie gut informiert – ganz bequem per eMail.

© Springer Medizin 

Bildnachweise