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dc.contributor.advisorLabonte, Ronalden_US
dc.contributor.advisorAbonyi, Sylviaen_US
dc.creatorPlamondon, Katrina Marieen_US
dc.date.accessioned2007-01-02T10:43:57Zen_US
dc.date.accessioned2013-01-04T04:22:59Z
dc.date.available2007-01-02T08:00:00Zen_US
dc.date.available2013-01-04T04:22:59Z
dc.date.created2007-01en_US
dc.date.issued2007-01-02en_US
dc.date.submittedJanuary 2007en_US
dc.identifier.urihttp://hdl.handle.net/10388/etd-01022007-104357en_US
dc.description.abstractThe Global Fund to Fight AIDS, Tuberculosis & Malaria (GF) offers new approaches and challenges in international aid for health. Little research is available exploring the experiences of individuals and communities working within the confines of GF policies in Latin America. The study fills this gap through a qualitative exploration of local experiences with tuberculosis (TB) services and the GF in Nicaragua. This study sought to examine local stakeholders’ (administrators, health personnel and persons affected by TB) experiences related to GF policies relevant to TB services in Nicaragua. The study drew from a population health perspective and was informed by an ethnomethodological approach. Key themes focused on TB control, health systems and health rights. Data collection involved contextual analysis, participant observation, in-depth interviews and focus groups. The study involved 6 months of fieldwork in Nicaragua from November 2005-April 2006. Fieldwork was conducted with the support, participation and assistance of the Centre for Health Research and Studies, the Damian Foundation and the National Tuberculosis Control Program. Analysis of findings shows various internal and external challenges in communication/procedural and disbursement/execution aspects of the GF grant. In TB control, participants identified private sector participation, case detection & reduced abandonment as improvements resulting from the GF project, though sustainability was a key concern. In health systems, concerns of efficiency and efficacy in the use of funds were commonly expressed. The focus on human resource development via the GF was considered a strength of the project. Community participation and the reduction of stigma, two facets of health rights, were perceived to have improved through the GF grant; however, remain identified as key issues for improving the context of TB in Nicaragua. The experiences of people working to implement or receiving TB services and GF activities in Nicaragua offer valuable insight into the strengths and challenges of this country-driven approach to aid for health. The GF needs to give more attention to such experiences a resource for improving flexibility and assuring sustainability in program strengthening and human resource development.en_US
dc.language.isoen_USen_US
dc.subjectnicaraguaen_US
dc.subjectpolicyen_US
dc.subjectethnomethodologyen_US
dc.subjectqualitativeen_US
dc.subjectdevelopment assistanceen_US
dc.subjecttuberculosisen_US
dc.subjectGlobal Funden_US
dc.titleThe global fund and tuberculosis in Nicaragua : making links between global policy and local experiencesen_US
thesis.degree.departmentCommunity Health and Epidemiologyen_US
thesis.degree.disciplineCommunity Health and Epidemiologyen_US
thesis.degree.grantorUniversity of Saskatchewanen_US
thesis.degree.levelMastersen_US
thesis.degree.nameMaster of Science (M.Sc.)en_US
dc.type.materialtexten_US
dc.type.genreThesisen_US
dc.contributor.committeeMemberMuhajarine, Nazeemen_US
dc.contributor.committeeMemberFanning, Anneen_US


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