Global-Fundization: HIV/AIDS funding mechanisms and programming in Sierra Leone

Resource type
Thesis type
(Thesis) M.Sc.
Date created
2015-05-08
Authors/Contributors
Abstract
This thesis explores how the Global Fund’s standardized funding stipulations and expectations impact HIV/AIDS programs in Sierra Leone. Situating funding mechanisms within the current trajectory of international healthcare delivery and financing, I argue that the Global Fund’s business-oriented financing approach has shaped Sierra Leonean program targets towards data production and digitization, allowing the Global Fund to make decisions ‘from a distance.’ Drawing on three months of ethnographic fieldwork in Freetown, Sierra Leone, I demonstrate how: 1) contradictions between weak infrastructure and Global Fund expectations impact HIV program practices; 2) the Global Fund’s data requirements and timeframes create asymmetries and disconnects in-country; and 3) audit and accountability technologies in HIV programs can become practices unrelated to health outcomes.
Document
Identifier
etd9206
Copyright statement
Copyright is held by the author.
Permissions
This thesis may be printed or downloaded for non-commercial research and scholarly purposes.
Scholarly level
Supervisor or Senior Supervisor
Thesis advisor: Erikson, Susan L.
Member of collection
Attachment Size
etd9206_ACollins.pdf 1.95 MB