ArticleBMC public health2015
Mortality changes after grants from the Global Fund to Fight AIDS, tuberculosis and malaria: an econometric analysis from 1995 to 2010.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of official development assistance for health on health outcomes: a rapid systematic review.Health policy and planning · 2026Pooled it
- Evaluating global health programmes targeting under-5 mortality: problems and recommendations.BMJ global health · 2026Article
- Aid withdrawal: an event study of mortality, vaccine coverage and DALY following transitioning from Gavi support.BMJ global health · 2026Article
- Equity in COVID-19 Vaccine Resource Distribution: An Exploration of Vaccine Uptake Among Health Workers in a Low-Income Setting.Healthcare (Basel, Switzerland) · 2026Article
- Association between Development Assistance for Health and Disease Burden: A Longitudinal Analysis on Official Development Assistance for HIV/AIDS, Tuberculosis, and Malaria in 2005-2017.International journal of environmental research and public health · 2022Article
- An exploratory study to assess patterns of influenza- and pneumonia-related mortality among the Italian elderly.Human vaccines & immunotherapeutics · 2021Article
- Comparing Approaches to Research in Global and International Health: An Exploratory Study.Annals of global health · 2020Article
- Years of potential life lost and productivity costs due to premature mortality from six priority diseases in Tanzania, 2006-2015.PloS one · 2020Article
- Governance and Health Aid from the Global Fund: Effects Beyond Fighting Disease.Annals of global health · 2019Article
- Tracking aid for global health goals: a systematic comparison of four approaches applied to reproductive, maternal, newborn, and child health.The Lancet. Global health · 2018Article
- Impact of malaria interventions on child mortality in endemic African settings: comparison and alignment between LiST and Spectrum-Malaria model.BMC public health · 2017Article
- Global funding trends for malaria research in sub-Saharan Africa: a systematic analysis.The Lancet. Global health · 2017Article
- The US President's Malaria Initiative and under-5 child mortality in sub-Saharan Africa: A difference-in-differences analysis.PLoS medicine · 2017Article
- Spectrum-Malaria: a user-friendly projection tool for health impact assessment and strategic planning by malaria control programmes in sub-Saharan Africa.Malaria journal · 2017Article
- Antiretroviral Treatment Scale-Up and Tuberculosis Mortality in High TB/HIV Burden Countries: An Econometric Analysis.PloS one · 2016Article
- The funding landscape for HIV in Asia and the Pacific.Journal of the International AIDS Society · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundSince its founding in 2002, the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund) has become the dominant multilateral health financier in low- and middle-income countries. The health impact of the Global Fund remains unknown because existing evaluations measure intermediate outcomes or do not account for preexisting and counterfactual trends.
methodsWe conducted an econometric analysis of data from all countries eligible to receive Global Fund grants from 1995 to 2010, prior to and during the Global Fund's activities. We analyzed three outcomes: all-cause adult (15-59 years), all-cause under-five, and malaria-specific under-five mortality. Our main exposure was a continuous longitudinal measure of Global Fund disbursements per capita. We used panel fixed effect regressions, and analyzed mortality trends controlling for health spending, health worker density (a measure of health system capacity), gross domestic product, urbanization, and country fixed-effects. RESULTS AND DISCUSSION: We find that following Global Fund disbursements, adult mortality rate declined by 1.4 % per year faster with every $10 per capita increase in disbursements (p = 0.005). Similarly, malaria-specific under-five mortality declined by 6.9 % per year faster (p = 0.033) with every $10 high per capita Global Fund disbursements. However, we find no association between Global Fund support and all-cause under-five mortality. These findings were consistent after subanalyses by baseline HIV prevalence, adjusting for effects of concurrent health aid from other donors, and varying time lags between funding and mortality changes.
conclusionsGrants from the Global Fund are closely related to accelerated reductions in all-cause adult mortality and malaria-specific under-five mortality. However, up to 2010 the Global Fund has not measurably contributed to reducing all-cause under-five mortality.
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