Regarding partnership with Govt, private sector,civil-society,affected communities, in implementing GF program,definitely GF principles& GF framework document have detailed accountability& allocation of funding priority. Capacity development support receive by countries needs specific socio-economical acceptance,socio-cultural support in many countries for GF principles implementation.
In GF framework document,integration of general equilibrium analysis of economical factors (impact of diseases)with human rights,equity, genetic potentialities,country's behavioural & cultural pattern, understanding of health technology,adoption of national policy favouring standards of living rather than socially unacceptable poverty elimination program , could expand more acceptable form of partnership& capacity development.
In many less GNP developing countries with varied socio-economic socio-cultural& environmental condition, specific poverty elimination program in GF'framework may not applicable in implementation of program. In the above conditions GF secretariat could expand its own role by providing active involvement with general equilibrium analysis model, facilitation of health technology,adoption of GF specific policy for providing constitution,goods& services. On the basis of analysis model ,restricted financial contribution component could be made more transparent & accountable in a country. Along with GF Secretariat ,Local Fund Agent mechanism could give better use of local resources,ad-hoc consultancies,partnership strategy with national& local policy adoption.
For international health financing, CCM,country partnership proposals,financing resources could take additional corporate sector involvement ,trade framework favoured partner environment, research & development support from external partner,governance support for partnership strategy,civil-society& community based organisation support for providing GF framework implementation to affected population in a country.
Participation with technical partners could define technical definition of GF partnership strategy,country's responsibility of technological approaches for understanding of possible obstacles in financing public health program. Technological approaches & technical partners should take appropriate technical methods, Eg. Radiometric methods, Lowenstein jensen methods for cost effective approaches,quality assurance methods,information technology, testing methodlogy. These approaches are not easily accessible in low GNP& less essentials of survival countries & affected population. Integration of organisation as provider of technical assistance could give effective technical partnership& formal relationship to affected community,civil-society involvement& predictability of GF technical facilitation capacity development.
Thank you
ASHISH SRIVASTAVA
ex-International Marketing
CCM(SEAR-INDIA)81237