Negative health system effects of Global Fund's investments in AIDS, tuberculosis and malaria from 2002 to 2009: systematic review.
Author(s)
Type
Journal Article
Abstract
OBJECTIVES: By using the Global Fund as a case example, we aim to critically evaluate the evidence generated from 2002 to 2009 for potential negative health system effects of Global Health Initiatives (GHI). DESIGN: Systematic review of research literature. SETTING: Developing Countries. PARTICIPANTS: All interventions potentially affecting health systems that were funded by the Global Fund. MAIN OUTCOME MEASURES: Negative health system effects of Global Fund investments as reported by study authors. RESULTS: We identified 24 studies commenting on adverse effects on health systems arising from Global Fund investments. Sixteen were quantitative studies, six were qualitative and two used both quantitative and qualitative methods, but none explicitly stated that the studies were originally designed to capture or to assess health system effects (positive or negative). Only seemingly anecdotal evidence or authors' perceptions/interpretations of circumstances could be extracted from the included studies. CONCLUSIONS: This study shows that much of the currently available evidence generated between 2002 and 2009 on GHIs potential negative health system effects is not of the quality expected or needed to best serve the academic or broader community. The majority of the reviewed research did not fulfil the requirements of rigorous scientific evidence.
Date Issued
2012-10-01
Date Acceptance
2012-10-01
Citation
JRSM Short Reports, 2012, 3 (10), pp.1-14
ISSN
2042-5333
Publisher
SAGE Publications
Start Page
1
End Page
14
Journal / Book Title
JRSM Short Reports
Volume
3
Issue
10
Copyright Statement
© 2012 Royal Society of Medicine Press
This is an open-access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by-nc/2.0/), which permits non-commercial use, distribution and reproduction in
any medium, provided the original work is properly cited.
This is an open-access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by-nc/2.0/), which permits non-commercial use, distribution and reproduction in
any medium, provided the original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/23162683
PII: SHORTS-12-062
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2012-10-01