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Has Global Fund support for civil society advocacy in the Former Soviet Union established meaningful engagement or 'a lot of jabber about nothing'?

机译:全球基金会对前苏联民间社会倡导的支持是否建立了有意义的参与或“无为而治”?

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Although civil society advocacy for health issues such as HIV transmission through injecting drug use is higher on the global health agenda than previously, its impact on national policy reform has been limited. In this paper we seek to understand why this is the case through an examination of civil society advocacy efforts to reform HIV/AIDS and drugs-related policies and their implementation in three former Soviet Union countries. In-depth semi-structured interviews were conducted in Georgia, Kyrgyzstan and Ukraine by national researchers with representatives from a sample of 49 civil society organizations (CSOs) and 22 national key informants. We found that Global Fund support resulted in the professionalization of CSOs, which increased confidence from government and increased CSO influence on policies relating to HIV/AIDS and illicit drugs. Interviewees also reported that the amount of funding for advocacy from the Global Fund was insufficient, indirect and often interrupted. CSOs were often in competition for Global Fund support, which caused resentment and limited collective action, further weakening capacity for effective advocacy.
机译:尽管民间社会对健康问题(如通过注射吸毒传播艾滋病毒)的倡导在全球卫生议程上比以前更高,但其对国家政策改革的影响仍然有限。在本文中,我们通过分析民间社会对改革艾滋病毒/艾滋病和毒品相关政策的倡导工作及其在三个前苏联国家中的实施情况进行研究,以了解为什么会如此。国家研究人员在佐治亚州,吉尔吉斯斯坦和乌克兰进行了深入的半结构式访谈,代表来自49个民间社会组织(CSO)和22个国家关键信息提供者。我们发现,全球基金的支持导致了公民社会组织的专业化,从而增加了政府的信心,并增加了公民社会组织对与艾滋病毒/艾滋病和非法药物有关的政策的影响。受访者还报告说,全球基金用于宣传的资金不足,间接且经常被中断。公民社会组织经常在争夺全球基金支持,这引起了不满和有限的集体行动,进一步削弱了有效宣传的能力。

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