MAXIMIZING POSITIVE SYNERGIES - World Health Organization

Discussion
Interviews with key informants in the CAR suggest that they perceive GHIs to be particularly
important in the health system. GHIs are thought to have positively impacted the governance,
financing, monitoring and evaluation, workforce, infrastructure and technology, and community
participation in the health system. There was a perceived improvement in access to prevention
and care of targeted diseases, with multiple treatments or vaccines being made free. In addition to
these positive effects, there were a few negative spillover effects described; however, these were
largely overwhelmed by the positive effects of GHIs. Quantitative data will be needed to confirm
these perceptions. The recommendations by informants may be useful in maximizing the positive
synergies between GHIs and the CAR’s health system.
Acknowledgements
We thank health officials in the Central African Republic who provided their perceptions. We also
acknowledge writing and analysis assistance from the Global Health Delivery Project at the
Harvard School of Public Health. We also thank the WHO country representative for CAR and staff
for assistance in accessing study participants.
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