Evaluating the effectiveness of global health partnerships for disease elimination: a systematic review Open Access

Sankar, Girija (Summer 2020)

Permanent URL: https://etd.library.emory.edu/concern/etds/t435gf316?locale=en


There is limited evidence on the critical success factors for global health partnerships. Despite the limited evidence on the relative effectiveness of these partnerships, donors have increased their support of such partnerships in the last 20 years. There is a need to understand the different types of partnerships in global health and identify factors contributing to efficiency and effectiveness of partnerships. The objective of this research is conduct a systematic review of peer-reviewed literature on coalition-building in global public health to identify the criteria under which global health partnerships are considered essential for the success of global disease elimination efforts and review the methods used to evaluate the efficiency and effectiveness of global health partnerships. Studies were included from searches on databases such as CAB Global Health and Pubmed using search terms and criteria established a priori. Analysis was performed on studies that met the inclusion standards, and study findings were synthesized using a scoring mechanism that scored the studies on evaluation metrics and conceptual frameworks. Findings from 22 studies met the criteria for inclusion. Of these, three studies included metrics to assess both global health partnership processes and impact. Seventeen studies included a conceptual framework to analyze the efficiency or effectiveness of global health partnerships. Of the 35 global health partnerships that were reviewed in the selected studies, 13 partnerships supported drug and vaccine development, and 12 promoted access to pharmaceutical products to advance disease elimination. Fifty percent of the studies included were either directly or indirectly supported by one philanthropic donor. Transparency, communication, governance, inclusion and representation were the process measures that most studies used to review the operational performance of global health partnerships. None of the studies established a causal linkage between partnership performance and disease outcomes. This systematic review found that a multi-disciplinary approach to evaluating global health partnerships addresses the dynamic contexts within which such partnerships operate. This review also found that rather than being able to demonstrate how partnerships are essential to the success of disease elimination efforts, the studies demonstrated the value-add of partnerships in accelerating disease elimination. 

Table of Contents

List of Abbreviations i

Glossary of Terms ii

Chapter 1. Introduction 1

Chapter 2. Literature Review 6

Chapter 3. Methodology 15

Chapter 4. Results 20

Chapter 5. Discussion 38

References 50

List of Figures

Figure 1. PICOT structure for literature search 19

Figure 2. Flow chart of study selection 30

Figure 3. Year of publication 31

Figure 4. Disease or health condition focus 32

Figure 5. Global health partnerships reviewed in the studies 33

Figure 6. Study sponsors 33

List of Tables

Table 1. Study appraisal measure 19

Table 2. Overview of selected studies 34

Table 3. Study appraisal and assessment 37

Table 4. Definitions and descriptions of key terms from some studies 49

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