Table 1 Summary of result findings by health system building blocks
From: Role of the Global Fund in national HIV/AIDS response in Myanmar: a qualitative study
Building block | Sub-themes and major concepts |
|---|---|
Financing | Largest funding source for HIV/AIDS response Criticism of “zero cash flow policy” Reliance of donor funding and limited domestic financial resource |
Leadership and governance | Alignment and coordination between donors, public sector, NGOs and civil society Trigger of important policy changes Engagement of NGOs and civil society in service delivery and national coordination Challenge in keeping all stakeholders involved and decision-making, especially at township level |
Medical supply | Main supplier for related medicine Parallel procurement and supply chain system created inefficiency in medicine provision |
Health information system | Improved data management and monitoring capacity of Ministry of Health and Sports Improved monitoring and evaluation capacity of implementing agencies Limited capacity at township level |
Health workforce | Lack of staffing in public sector hindered scale-up of interventions Frequent turnover and lack of power for recruitment and deployment in hospitals Limited funding for workforce training |
Service delivery | Prevention activities lacked focus on men who have sex with men and challenges in implementing harm reduction activities Care and support activities with challenges in stigma and hard-to-reach population Treatment scale-up: benefit and challenges of decentralization Fragmented service delivery system and inefficient coordination between public and non-public stakeholders |