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首页> 美国卫生研究院文献>Bulletin of the World Health Organization >Linking local knowledge with global action: examining the Global Fund to Fight AIDS Tuberculosis and Malaria through a knowledge system lens.
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Linking local knowledge with global action: examining the Global Fund to Fight AIDS Tuberculosis and Malaria through a knowledge system lens.

机译：将地方知识与全球行动联系起来：通过知识系统的角度研究全球抗击艾滋病结核病和疟疾基金。

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New global public health institutions are increasingly emphasizing transparency in decision-making, developing-country ownership of projects and programmes, and merit- and performance-based funding. Such principles imply an institutional response to the challenge of bridging the "know-do gap", by basing decisions explicitly on results, evidence and best practice. Using a knowledge systems framework, we examine how the Global Fund to Fight AIDS, Tuberculosis and Malaria has affected the ways in which knowledge is used in efforts to combat these three diseases. We outline the formal knowledge system embedded in current rules and practices associated with the Global Fund's application process, and give three examples that illustrate the complexity of the knowledge system in action: human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) policy in China; successful applications from Haiti; and responses to changing research on malaria. These examples show that the Global Fund has created strong incentives for knowledge to flow to local implementers, but with little encouragement and few structures for the potentially valuable lessons from implementation to flow back to global best practice or research-based knowledge. The Global Fund could play an influential role in fostering much-needed learning from implementation. We suggest that three initial steps are required to start this process: acknowledging shared responsibility for learning across the knowledge system; analysing the Global Fund's existing data (and refining data collection over time); and supporting recipients and technical partners to invest resources in linking implementation with best practice and research.
机译：新的全球公共卫生机构越来越强调决策的透明度，发展中国家对项目和计划的所有权以及基于绩效和绩效的资金。这些原则意味着通过明确基于结果，证据和最佳实践的决策来应对弥合“知识鸿沟”挑战的制度性反应。使用知识系统框架，我们研究了抗击艾滋病，结核病和疟疾全球基金如何影响知识用于抗击这三种疾病的方式。我们概述了与全球基金申请流程相关的现行规则和实践中所包含的形式化知识体系，并给出了三​​个实例来说明该知识体系在运作中的复杂性：中国的人类免疫缺陷病毒/后天免疫缺陷综合症（HIV / AIDS）政策;海地的成功申请；以及对不断变化的疟疾研究的回应。这些例子表明，全球基金会为知识流向本地实施者创造了强大的动力，但很少有鼓励，也没有从实施到流向全球最佳实践或基于研究的知识的潜在有价值的教训的结构。全球基金可在促进实施方面急需的学习中发挥重要作用。我们建议开始该过程需要三个初始步骤：承认在整个知识系统中学习的共同责任；分析全球基金的现有数据（并随着时间的推移完善数据收集）；支持接受者和技术合作伙伴投入资源，以将实施与最佳实践和研究联系起来。

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