1. Grant Performance and Health Financing: Analysis of 12 Years of Financing Decisions at the Global Fund to Fight AIDS, Tuberculosis and Malaria
- Author
-
Michael Olszak-Olszewski, Ronald Tran Ba Huy, Michael R. Reich, and Günther Fink
- Subjects
Finance ,Economic growth ,Variables ,business.industry ,media_common.quotation_subject ,Public Health, Environmental and Occupational Health ,Equity (finance) ,Health Informatics ,medicine.disease ,Health Information Management ,medicine ,Economics ,Portfolio ,Results based financing ,business ,Malaria ,AIDS tuberculosis ,media_common - Abstract
Abstract—The Global Fund to Fight AIDS, Tuberculosis and Malaria (“the Global Fund”) was established to attract, manage, and disburse additional financial resources toward Millennium Development Goal (MDG) 6. To increase the efficiency and impact of resources provided, performance-based financing (PBF) was included among the founding principles of the Global Fund. Since 2002, the Global Fund has disbursed over 28 billion USD to 145 countries or regional programs worldwide. This article investigates the degree to which PBF principles were followed in practice as well as the equity implications for the Global Fund's grant portfolio. We obtained performance and financial data on all disbursements (N = 6,064) and grant renewals (N = 892) between 2003 and 2014. Multivariate regression analysis was used to estimate the associations between performance ratings and financing amounts. The dependent variable was the fraction of original budgeted amount disbursed or renewed by the Global Fund. The main indep...
- Published
- 2019