Perspectives Integrating Country Coordinating Mechanisms with Existing National Health and AIDS Structures: Emerging Issues and Future Directions

Clare Dickinson and Nel Druce

This paper analyses how countries are adapting the architecture and requirements for national-level governance of the Global Fund to Fight AIDS, Tuberculosis and Malaria to better suit their contexts and to implement the Paris Principles for more effective aid. The paper identifies two trends of linkages and integration with the national structures for co-ordination of a) the HIV/AIDS response, and b) the health sector. Both approaches potentially contribute to improved aid effectiveness, but raise some concerns in practice. The paper proposes a future research and action agenda to promote better understanding of integration and the role it can play in promoting harmonization and alignment.