Responsabilité éthique dans la gestion du financement alloué aux activités de lutte contre le VIH/Sida et les IST au PNLS/RDC : Atouts et Entraves.e illusion?
Keywords:
Responsabilité éthique, redevabilité, Financement, gouvernance, transparence, efficacité.Abstract
Abstract
Ethical responsibilities are pillars for optimizing good governance within an organization. The overall objective of this research is to analyze the influence of ethical responsibility on the management of funding allocated by partners for the activities of the National AIDS Control Program in the DRC between 2020 and 2025. To achieve this, we set out to identify the main ethical challenges related to the management of partner funds, analyze the compliance of management practices with international standards of transparency, accountability, and equity, and propose recommendations to improve governance and ethical responsibility in funding management. We used a survey method, interview techniques, and focus groups, as our research was mixed. The results obtained provide sufficient evidence that ethical responsibility positively influences funding management and ensures transparency, compliance, efficiency, and accountability. Their effectiveness is therefore essential to ensure the sustainability and impact of partner-funded interventions.
References
1.Adepoju, A. (2012). Governance and HIV response in Africa. African Journal of AIDS Research, 11(3), 173–180.
2.Adeyemi et al., 2017. Public Health Governance and Ethics in Nigeria. African Journal of Health, 12(3), pp. 45-59.
3.Adeyemi, J. et al. (2017). Public Health Governance and Ethics in Nigeria. African Journal of Health, 12(3), 45-59.
4.Andrews, M. (2013). The Limits of Institutional Reform in Development. Cambridge University Press.
5.Ansell, C., & Gash, A. (2008). Collaborative governance in theory and practice. *Journal of Public Administration Research and Theory*, 18(4), 543–571.
6.Duran, D., & Glassman, A. (2020). Accountability for Global Health Programs: Evidence from HIV/AIDS, Tuberculosis and Malaria. Center for Global Development. https://www.cgdev.org/publication/accountability-global-health-programs
7.Fonds Mondial de Lutte contre le SIDA, la Tuberculose et le Paludisme. (2023). Rapport de performance pays – République Démocratique du Congo 2022-2023. Genève: Le Fonds Mondial. https://www.theglobalfund.org
8.GAVI & OMS. (2021). Cadre de redevabilité pour les programmes de santé en Afrique. Genève: Organisation Mondiale de la Santé.
9.Kouadio, 2021. Governance and Stakeholder Engagement in Burkina Faso. Journal of Public Administration, 16(1), pp. 55-70.
10.Marchal B, et al. Is performance-based financing feasible in fragile settings? Health Policy Plan. 2010.
11.Marchal, B., Cavalli, A., & Kegels, G. (2017). Health workforce governance: Processes, tools and actors towards an integrated approach. Human Resources for Health, 15(1), 49. https://doi.org/10.1186/s12960-017-0222-5
12.Mavimbe JC, et al. Does health information systems improve planning and management? Health Policy Plan. 2006.
13.Mbemba, G. et al. (2021). Resource Allocation Inefficiency in African Health Programs. African Health Management Journal, 19(2), 120-136.
14.Meessen, B., Kouanda, S., Musango, L., Richard, F., Ridde, V., & Soucat, A. (2019). Gouvernance et financement de la santé en Afrique subsaharienne: Défis et perspectives. Revue Tiers Monde, 238(2), 45–62. https://doi.org/10.3917/rtm.238.0045
15.Mensah et al., 2018. Ethical Principles and Health Equity in Ghana. Ghana Medical Journal, 9(4), pp. 80-95.
16.Organisation mondiale de la santé. (2023). Données sur la riposte au VIH/Sida. Genève : OMS.
17.Organisation mondiale de la santé. (2023). Résilience des systèmes de santé en Afrique. Genève.
18.PEPFAR. (2021). Haiti Country Operational Plan (COP) 2021 Strategic Direction Summary.
19.Pierre et al., 2020. Health Program Efficiency in Sub-Saharan Africa. Journal of African Development, 18(4), pp. 120-135.
20.PNLS. (2018). Manuel national de prise en charge syndromique des IST. Kinshasa.
21.PNLS. (2020). Rapport annuel d’activités du PNLS. Kinshasa.
22.PNLS. (2021). Plan stratégique national de lutte contre le VIH/Sida 2021–2025. Kinshasa.
23.PNLS. (2021). Rapport épidémiologique VIH/IST. Kinshasa
24.PNLS. (2022). *Rapport annuel de performance*. Kinshasa : Ministère de la Santé.
25.PNLS. (2022). Rapport annuel d’activités du Programme national de lutte contre le Sida. Kinshasa : Ministère de la Santé Publique
26.PNLS. (2023). *Note technique sur la gestion comptable des subventions VIH*. Kinshasa.
27.PNLS. (2023). Rapport annuel de gestion financière et comptable du PNLS. Kinshasa : Ministère de la Santé publique.
Downloads
Published
How to Cite
Issue
Section
License
Open access and copyright policy
The journal offers access to the contents in the open access system on the principles of non-exclusive license Creative Commons (CC BY 4.0). Thus, the authors are required to agree with that policy. In this regard, authors will be asked to complete a submission card with a copyright transfer agreement that specifies detailed descriptions of the copyright transfer. The submission card is provided via email before the publication.
Publication fee
IJSSASS is a self-funded journal. For this reason, the journal handles a publication fee. The current publication fee is provided on the journal’s Web site in the section Instruction for authors. Thus, the publication fee that is required for manuscript processing is clearly stated on our website
