Sentence examples for subnational coordination from inspiring English sources
* Year structure was established In China, Georgia, Kyrgyzstan, Peru, Ukraine and Zambia, Global Fund programmes stimulated the introduction of new HIV/AIDS coordination structures: in addition to national CCMs, subnational coordination structures have been created to coordinate local HIV/AIDS programmes [ 28- 39].
Systemic weaknesses in countries' national and subnational coordination structures were undermining the goals of the GHIs.
Indeed weak subnational coordination was seen as reinforcing centralised decision-making.
Secondly, less data are available on subnational coordination than national coordination since subnational interviews were not part of the study design in Peru, Mozambique, and Georgia, although national interviewees commented on subnational coordination in Peru.
This was reflected in donors' unwillingness to relinquish control of funds to national or subnational coordination structures and to share information with other partners.
Many PEPFAR recipient organisations in Zambia did not participate in subnational coordination structures including District AIDS Task Forces, which consequently had little control over these programmes [ 30, 31].
Studies explored the development and functioning of national and subnational HIV coordination structures, and the extent to which coordination efforts around HIV/AIDS are aligned with and strengthen country health systems.
In Zambia, Peru, Ukraine and Kyrgyzstan subnational HIV/AIDS coordination structures were seen as particularly weak and as reinforcing centralised decision-making.
The paper identifies residual national and subnational obstacles to effective coordination and optimal use of funds by focal GHIs, which these GHIs, other donors and country partners need to collectively address.
Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level.
However, the quality of participation was often limited, and some GHIs bypassed coordination mechanisms, especially at the subnational level, weakening their effectiveness.
