Health systems in Mozambique, Uganda and Zambia --a s in other African countries -- face major challenges that have hampered the provision of health services for decades. But in recent years they have received renewed attention, as large sums of AIDS money flow into the countries from global donors. Global AIDS donors, including the three biggest ones -- PEPFAR, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank’s Multi-Country HIV/AIDS Program for Africa -- are engaged in a large-scale experiment with global health aid. As that experiment unfolds, participants and observers debate a key question: is AIDS money strengthening national health systems? Or is it weakening them by establishing heavily resourced systems focused on combating a single disease?
As part of the XVII International AIDS Conference in Mexico City, the Center for Global Development addressed these issues in a two-part panel discussion on How are HIV/AIDS donors interacting with national health systems? The satellite event, held Wednesday, August 6th, 2008 in Session Room 5 of Centro Banamex, featured Nandini Oomman, CGD senior program associate and project director for the HIV/AIDS Monitor Initiative and was moderated by J. Stephen Morrison, the Executive Director of the HIV/AIDS Task Force and Director of the Africa Program at Center for Strategic and International Studies.
Oomman presented a new paper from CGD’s HIV/AIDS Monitor which investigates how AIDS programs interact with three particular components of the health system: the health information system, the supply chain system, and human resources for health.
The first panel of this event included Dirce Costa, Mozambique Principal Investigator, HIV/AIDS Monitor and Development Economist, Austral-COWI Consulting; William Okedi, Field Director, HIV/AIDS Monitor, Center for Global Development; and Freddie Ssengooba, Uganda Principal Investigator, HIV/AIDS Monitor and Lecturer, Makerere University School of Public Health. The second panel included Ambassador Mark Dybul, U.S. Global AIDS Coordinator and PEPFAR Administrator; Michel Kazatchkine, Executive Director, The Global Fund to Fight AIDS, Tuberculosis and Malaria; and Debrework Zewdie, Director, Global HIV/AIDS Programs, World Bank Human Development Network.