ArticleAnnals of global health2019
Governance and Health Aid from the Global Fund: Effects Beyond Fighting Disease.
Article in Annals of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A review and analysis of accountability in global health funding, research collaborations and training: towards conceptual clarity and better practice.BMJ global health · 2023Pooled it
- Who Funds Research in Ghana? A Scoping Review of Published Articles in the Last Decade.Health science reports · 2026Review
- Pharmaceutical access in medical security systems and health policy mobilization: cross-national evidence on TRIPS compulsory licensing from 2001 to 2024.Frontiers in public health · 2026Article
- Governance in Crisis: A Mixed-Methods Analysis of Global Health Governance During COVID-19.International journal of environmental research and public health · 2025Review
- Accounting for aid: estimating the impact of United States' global health investments on mortality among women of reproductive age using synthetic control and Bayesian methods.Journal of global health · 2025Article
- The Global Fund: why anti-corruption, transparency and accountability matter.Globalization and health · 2021Article
- US elections and a foreign policy for pandemics.The Lancet. Public health · 2020Review
- The Global Fund, Governance, and Accountability.Annals of global health · 2019Article
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2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Global Fund to Fight AIDS, Tuberculosis and Malaria has proven highly effective at fighting the world's major killers. Strong governance and robust development institutions are necessary, however, for improving health long-term. While some suggest that international aid can strengthen institutions, others worry that aid funding will undermine governance, creating long-term harm. The Global Fund is a unique aid institution with mechanisms designed to improve transparency and accountability, but the effectiveness of this architecture is not clear.
objectivesThis study seeks evidence on the effects of Fund financing over the past 15 years on national governance and development.
methodsA unique dataset from 112 low- and middle-income countries was constructed with data from 2003 to 2017 on Global Fund financing and multiple measures of health, development, and governance. Building a set of regression models, we estimate the relationship between Fund financing and key indicators of good governance and development, controlling for multiple factors, including the effects of other aid programs and tests for reverse causality.
findingsWe find that Global Fund support is associated with improved control of corruption, government accountability, political freedoms, regulatory quality, and rule of law, though association with effective policy implementation is less clear. We also find associated benefit for overall adult mortality and human development.
conclusionOur data are not consistent with recent claims that aid undermines governance. Instead our findings support the proposition that the Global Fund architecture is making it possible to address the continuing crises of AIDS, tuberculosis, and malaria in ways that improve institutions, fight corruption, and support development. Amidst the complex political economy that produces good governance at a national level, our finding of a beneficial effect of health aid suggests important lessons for aid in other settings.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.