Abstract
Health systems within many developing countries are reliant on donor funding and non-governmental development organisations (NGDOs); this has had positive results but also presents challenges to sustainability and national ownership, with national programmes needing to respond to changing donor priorities. Simultaneously, the WHO neglected tropical disease (NTD) roadmap 2021–2030 calls for increased country ownership and domestically financed NTD programmes. Focusing on Liberia and blending primary research from the COUNTDOWN consortium and personal programmatic experience, this commentary reflects on the sustainability and financing of NTD programme delivery within the current context. We explore the successes and challenges of current models of collaboration and opportunities to improve country ownership and sustainability.
Highlights
The Liberian health sector has faced multiple shocks including conflict, Ebola and the ongoing COVID-19 pandemic
The health system is reliant on donor and nongovernmental development organisation (NGDO) financial and technical support.[1]
The Liberian Ministry of Health (MoH) reports that partners provided over US$30 000 000 of support to the sector from 2008 to 2012.2 The Liberian neglected tropical disease (NTD) programme manages all priority NTDs using an integrated approach, coordinating inputs from multiple donors and NGDO partners. This brings opportunities, successes and challenges that are important to reflect on. This commentary draws on primary research from the COUNTDOWN consortium as well as programmatic experience and personal reflections from NTD programme staff
Summary
The Liberian health sector has faced multiple shocks including conflict, Ebola and the ongoing COVID-19 pandemic.
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