LesothoThe impact of GHIs on the architecture of development partnerships and national-level health system management functions

Study Aim

This study is part of a four year research project (INCO) among five African countries that aims to understand how the rise of GHIs has impacted the architecture of development partnerships and national-level health system management functions:

  • To assess the impact of GHIs and of donor dependency on country-level decision-making and planning processes
  • To assess the impact of GHIs on country human resource policies, deployment and effectiveness, and/or on competition for human resources for programme planning, management and service delivery
  • To evaluate how the proliferation of GHIs has influenced the within-country praxis of development assistance for health
  • And to identify best practices to integrate new GHIs within existing partnerships and country systems in a way that improves the coherence of development assistance and the co-ordination and efficacy of the health system


Themes include the national effects of Global Health Initiatives on:

  • National policy development
  • Financial flow
  • Public-private partnerships
  • Planning and coordination
  • Management and M&E
  • Human Resources for Health
  • Resources and commodities
  • Service scale-up

Contact Principal Investigator

  • Elsie Makoa, Faculty of Health Sciences, University of Lesotho ()

Research Partners

  • University of Pretoria (UP), South Africa
  • University of the Western Cape (UWC), Cape Town, South Africa
  • Centro de Estudos Avancados em Educacao e Formacao Médica (CEDUMED), Luanda, Angola
  • Prince Leopold Institute of Tropical Medicine (ITMA), Antwerp, Belgium
  • Instituto de Higiene e Medicina Tropical (IHMT), Lisbon, Portugal
  • Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland

Research Funders

EU INCO-DEV programme

Lesotho Study Outputs

  • The implementation of a global fund grant in Lesotho: applying a framework on knowledge absorptive capacity, Social Science and Medicine
Sponsored by DFID, Danida, Irish Aid