ArticleGlobal health action2025
Sailing global health initiative ships into stormy seas: navigating the introduction of the Global Financing Facility in Mozambique.
Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Navigating power, participation, and priorities: critical reflections for Global Financing Facility new strategy.Global health action · 2025Article
- Advancing the Lusaka Agenda: the Global Financing Facility's missed opportunities for catalysing sustainable health investment.Global health action · 2025Article
- Behind the billions: policies, politics and power of the Global Financing Facility for women's, children's, and adolescents' health.Global health action · 2025Article
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5 authors.
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Abstract
backgroundMozambique joined the Global Financing Facility (GFF), a financing mechanism to accelerate progress for women, children, and adolescents' health, with a history of donor dependence, distrust in public finances, and social inequities. Few independent studies have assessed the GFF.
objectivesTo understand how a global mechanism, such as the GFF, was introduced and utilized in Mozambique.
methodsThis qualitative study explored the aid coordination dynamics between 2015 and 2020 linked to the development of the Investment Case (IC) and Project Appraisal Document (PAD), key national GFF planning documents, based on data from 25 documents and 14 qualitative interviews thematically analyzed.
resultsThe GFF was not fully understood by stakeholders and initially gained traction in the name of strengthening the health system, ironically amidst prevailing distrust of government systems. Some viewed the IC as consultatively developed, aiding the Ministry of Health in prioritizing issues and convening donors, while others remained sceptical about its impact. The PAD was viewed as a less consultative process, though it engaged the government and partners in setting disbursement-linked indicators (DLIs) to incentivize health system improvements. However, some stakeholders viewed them as unfeasible, while others were excluded by technical discourse. The perceived transparency issues around DLIs fuelled scepticism.
conclusionAlthough the GFF policy processes provided a technically alluring basis for addressing Mozambique's health disparities, respondents revealed nuanced perspectives about how IC and PAD were formulated and followed. Aid coordination reflects various interdependencies, power dynamics, and uncertainties that require active relationship management and long-term institution building.
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