By Amy Barnes, G. Brown, S. Harman
Drawing on qualitative learn with African actors and international overall healthiness associations, the authors discover the politics of ways functionality investment modalities and participation are used to form health and wellbeing reform in African international locations in addition to the function of African actors, international coverage elites and overseas donors inside those strategies.
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Additional info for Global Politics of Health Reform in Africa: Performance, Participation, and Policy
Sample text
They ask if you want the money, you want the money, so you do the project. (Interview ZAM3) This view was supported by another government official who had an association with the Zambian pilot: I think it was, you know when they propose that there is this project, so then we applied for that project as a government. So there was, we were informed by the World Bank there is the project, would you be interested? So we said yes we would and we applied for it and we started from there. (Interview ZAM1) Government officials associated with PBF were keen to assert the Zambian ownership of the project; however, they were also resistant to any general questions about how the programme was designed and how indicators were identified.
This framework distinguishes between economic, social, cultural, and symbolic capital as a means of demarcating how these forms of capital are acquired and converted from one form to another. For Magrath and Nichter, such a framework can be useful in explaining how PBF impacts on motivation depending on the design of funding schemes. The linkage here between habitus and motivation reveals how PBF intersects with existing power structures and reward systems and the access different actors have to these different types of capital within the schemes.
First, that PBF is a mechanism to better monitor health interventions so that more reliable evidentiary judgements could be made about what policies work and what policies struggle to generate results. As one Global Fund interviewee claimed, PBF ‘ensures that funding decisions are based on transparent assessment of results’ (Interview GEN1). 0007 The Politics of Performance-Based Funding (PBF) produces significantly better health outcomes, most respondents made a firm link between PBF mechanisms and global initiatives to increase evidence-based policy.