Country Analysis

As a core part of the research for the HIV Monitor, CGD initiated work with local research partners to conduct in-depth analyses in three recipient countries: Mozambique, Uganda and Zambia. Working with these in-country researchers, we examine the nature and volume of aid flows, analyze how (and by whom) aid-financed programs are designed and implemented, investigate how programs are monitored and evaluated, and explore the impacts on health and financial systems. We are concerned not only with the narrow aims of the programs, but how the programs approach major challenges of implementation in the specific country contexts and the broader impacts on national development strategies.

We have developed a framework of six questions which we address through in-depth analyses by local research partners (with assistance from a field director and CGD as necessary). Some issues to be looked at are central to the global aid effectiveness agenda, and some themes are more specific to HIV/AIDS responses and considerations. Specific areas of research include:

1. Tracking the funding: How much money is being committed/disbursed and who are the recipients? Do recipients have the capacity to use the funding they are given? (See Following the Funding)
2. Analysis of donor efforts to address gender inequality: How are the links between gender inequality and HIV/AIDS addressed in donor programs? (See Moving Beyond Gender as Usual)
3. Relationship between funding and performance: How is each funding mechanism operationalizing the concept of performance-based funding? How are results measured? (See Are Funding Decisions Based on Performance?)
4. Relationship of HIV/AIDS and reproductive health programs: How does the large volume of funds for HIV/AIDS programs affect other essential health interventions such as reproductive health? (forthcoming)
5. Donor interactions with national health systems: How are HIV/AIDS donor programs interacting with health systems and their various parts, including health information systems, supply chains, and the health workforce? (See Seizing the Opportunity on AIDS and Health Systems)
6. Effects on human resources for health: How have the donor programs affected the human resources for health situation? (See Zeroing In: AIDS Donors and Africa’s Health Workforce)

   The field research program is coordinated by a Nairobi-based Field Director, William Okedi. William, a Kenyan national, has over 20 years of experience in global health and development in East and Southern Africa, including work with the Ford Foundation, the African Medical and Research Foundation, and the Kenyan Ministry of Health. He is a member of the Technical Review Panel for the Global Fund and is currently pursuing a PhD in Public Health Policy at the London School of Hygiene and Tropical Medicine.