Who benefits from demand-driven distribution of HIV/AIDS services? An analysis of the emerging CBO sector in Malawi

Autor:	Arild Schou
Rok vydání:	2009
Předmět:	Economic growth Elite capture Public Administration business.industry Distribution (economics) Funding Mechanism Development Public administration Collective action medicine.disease Decentralization Acquired immunodeficiency syndrome (AIDS) Accountability Demand driven medicine Business
Zdroj:	Public Administration and Development. 29:155-166
ISSN:	1099-162X 0271-2075
Popis:	Community-based organisations (CBOs) play a key role in Malawi's multi-sector programme for responding to the HIV/AIDS pandemic. In this programme they are funded in a demand-driven manner—which means that only those areas that apply for funds to CBO services are blessed with programme benefits. This paper argues that this funding mechanism is not conducive to either distributing CBO services to areas most in need or enhancing downward accountability. Because areas most in need of services generally also lacked the capacity to attract project funding, the programme did not reach them. Instead, it tended to reach those areas with the greatest capacity to attract funding, though not necessarily the greatest need for it. Furthermore, those CBOs that were funded were unable to facilitate collective action in their communities because of elite capture of decision making. The programme, however, was relatively responsive to the communities' thematic demands. Thus, all in all, the elites were relatively more successful in representing the communities' wishes than in caring for all geographical areas in their constituencies. Copyright © 2009 John Wiley & Sons, Ltd.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::19d8f513d3437d16fe99cec00de89046 https://doi.org/10.1002/pad.520 Zobrazit plný text záznamu Plný text ve formátu PDF