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Chapter 1 - Contested Indicators

Published online by Cambridge University Press:  18 May 2020

Sara L.M. Davis
Affiliation:
Graduate Institute of International and Development Studies, Geneva
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Summary

In 2016, Venezuelans living with HIV asked the Global Fund to Fight AIDS, Tuberculosis and Malaria for emergency aid. But despite an economic catastrophe, Venezuela’s high national income made it ineligible. Data on HIV that might have helped was censored or had never been gathered. The public debate around this case highlighted the growing use of indicators and data in global health finance. Mathematical models had shown that ending HIV was achievable through rapid scale-up of testing and treatment to meet the Sustainable Development Goal of “ending AIDS” by 2030. But funding for the global HIV response has leveled off, and was not enough to meet the goals everywhere. Bilateral and multilateral donors were targeting funds where they could have the greatest impact, especially in Sub-Saharan African countries where HIV prevalence is high and national incomes low. Donors also needed to show progress to the politicians who approve their budgets. Yet how progress is measured through indicators and data is contested, including by civil society. As an example of how indicators can become sites of contest and levers of political power, the chapter examines Global Fund corporate Key Performance Indicators (KPIs) on lives saved, service coverage, and health systems strengthening.

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Chapter
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The Uncounted
Politics of Data in Global Health
, pp. 1 - 44
Publisher: Cambridge University Press
Print publication year: 2020

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  • Contested Indicators
  • Sara L.M. Davis, Graduate Institute of International and Development Studies, Geneva
  • Book: The Uncounted
  • Online publication: 18 May 2020
  • Chapter DOI: https://doi.org/10.1017/9781108649544.001
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  • Contested Indicators
  • Sara L.M. Davis, Graduate Institute of International and Development Studies, Geneva
  • Book: The Uncounted
  • Online publication: 18 May 2020
  • Chapter DOI: https://doi.org/10.1017/9781108649544.001
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Contested Indicators
  • Sara L.M. Davis, Graduate Institute of International and Development Studies, Geneva
  • Book: The Uncounted
  • Online publication: 18 May 2020
  • Chapter DOI: https://doi.org/10.1017/9781108649544.001
Available formats
×