Assessing the impacts of donor support on Nigeria's health system: The global fund in perspective

Kalu K.

International Social Science Journal, vol.72, no.243, pp.243-253, 2022 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 72 Issue: 243
  • Publication Date: 2022
  • Doi Number: 10.1111/issj.12305
  • Journal Name: International Social Science Journal
  • Journal Indexes: Scopus, Academic Search Premier, IBZ Online, International Bibliography of Social Sciences, Periodicals Index Online, American History and Life, EBSCO Education Source, EconLit, Education Abstracts, Educational research abstracts (ERA), Geobase, Historical Abstracts, Index Islamicus, MLA - Modern Language Association Database, PAIS International, Political Science Complete, Public Administration Abstracts, Public Affairs Index, Social services abstracts, Sociological abstracts, Worldwide Political Science Abstracts
  • Page Numbers: pp.243-253
  • TED University Affiliated: No


© 2021 John Wiley & Sons Ltd.From 2003 to 2019, the Global Fund to Fight AIDS, Tuberculosis, and Malaria (the “Global Fund”) disbursed a total of US$2.3 billion in grants to Nigeria, mainly for the prevention and treatment of HIV/AIDS, tuberculosis, and malaria. This paper examines the impacts of the Global Fund's interventions on Nigeria's health system. Case study evidence shows that while the Global Fund has been successful in achieving its specific performance targets, its impacts on Nigeria's health system has been minimal at best. Major reasons for its negligible impacts on the country's health system include the Global Fund's ambivalent operational structure, little input from the host country in program design, excessive focus on fiduciary matters as opposed to public health interventions, as well as emphasis on parochial performance targets. Policy implications arising from this study include the need for domestic actors in Nigeria's health sector to have significant input in designing the Global Fund's projects in the country. In addition, the Global Fund's board and major donors should work collaboratively to refocus the institution to enhance its public health impacts.