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PurposeThis paper aims to formulate COVID-19 benchmarks that international nongovernmental organizations (INGOs) have considered to recover from the sudden stopping of operations swiftly and consequences of COVID-19 pandemic; thus, to move forward toward readiness for both, the unpredictable spreading or disappearing of the virus (case of INGOs operating in Jordan).Design/methodology/approachThis exploratory research has been informed by the broader social constructivism paradigm and the basics of grounded theory method to identify the common themes. Six semistructured interviews have been conducted with INGOs’ leaders. The findings have been categorized, triangulated and prioritized toward the final identification of benchmarks.FindingsSeven COVID-19 benchmarks for INGOs’ effective responses during COVID-19 pandemic have been proposed, comprising of (1) donors’ policies and regulations, (2) needs, expectations and relevancy, (3) coordination, (4) staff management, (5) business continuation plans, (6) balanced short-term and long-term planning and (7) permanent adoption of successful modalities.Social implicationsINGOs play a vital role in the lives of vulnerable people around the world through their international development and aid (IDA) projects. However, the restrictions of movements associated with COVID-19 pandemic drive more burden on these communities and interrupted their access to assistance and support. This paper helps to sustain the crucial support of INGOs to those people who need it.Originality/valueCOVID-19 pandemic has interrupted the implementation of IDA projects, which added further obstacles toward the achievement of quality implementation of these projects. The proposed COVID-19 benchmarks help INGOs to overcome the consequences of pandemic on the near longer-term alike.

The provision of Chinese aid to Africa is characterized by a policy of minimal conditions, whereby aid is extended to African leaders in response to their requests. This approach may afford African leaders greater discretion in expediting the implementation of Chinese aid projects. However, it also renders Chinese aid vulnerable to corruption, as leaders may exploit it to secure political favor for a specific region without the need to adjust government tax and spending policies. Such a characteristic of Chinese aid projects may ultimately shape local attitudes towards taxation and, thereby, influence state–society relations. This paper puts this claim to an empirical test using data from the Afrobarometer surveys and the AidData. The results indicate that exposure to Chinese aid projects creates negative perceptions among citizens regarding the state’s tax enforcement behavior. Interestingly, the study also reveals a positive association between Chinese aid and tax morale or compliance among citizens residing around Chinese aid projects. Noteworthily, these results are confined only to less democratic settings. A similar analysis for World Bank aid projects does not exhibit such a relationship. The findings suggest a tradeoff associated with Chinese aid. On the one hand, it promotes compliance among beneficiaries. On the other hand, it engenders weak tax enforcement perceptions. The implication is that if the negative consequences outweigh the positive ones, Chinese aid has the potential to undermine the government’s reputation for fiscal responsibility, which in turn poses challenges to the development of state capacity through robust fiscal contracts.

How resources are being used to fund the community response to human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) is of considerable interest to the donor community and governments. In the past decade, international funding for the HIV and AIDS response provided by governments rose from about US

Since the late 1990s a selection on policy approach to aid was advocated such that more aid should be allocated to countries with good policies, but there is little evidence that this has occurred. This paper argues that donors may exercise selectivity over the aid modality. Specifically, multilateral donors will cede more recipient control over aid by granting more budget support to those recipients with better expenditure systems and spending preferences (towards the poor) aligned with the donor. We test this for European Commission and World Bank budget support over 1997–2009 and find some support. Both donors have given budget support to almost half of the countries they give aid, and it is usually a significant share of their aid. The principal determinants of receiving budget support are having a poverty reduction strategy in place, which can be considered a good indicator of aligned preferences, and indicators of government efficiency. These variables did not, however, influence the amount of budget support given. Multilateral donors have been more likely to give budget support to countries with aligned spending preferences and better quality systems, even if they have not reallocated the total aid envelope in that way.

Should donors interested in the effectiveness of developmental programmes rely on conditional budget support or on project aid? To answer this question, we present a model in which only a subset of developmental expenditures can be subject to conditionality. We show that budget support is preferable to project aid when the preferences of donors and recipients are aligned, and when assistance is small relative to the recipients' own resources. Furthermore, when donors cannot observe the recipient's type, they may impose higher levels of conditionality to separate committed governments from uncommitted ones.

Objective: The study explored perceptions on how digital health interventions could be used to improve management efficiencies and effectiveness of HIV/AIDS projects in Kenya.   Theoretical Framework: The Unified Theory of Acceptance and Use of Technology was employed.   Method: A total of 32 healthcare service providers who were on duty (during the period of data collection January-February 2022) at comprehensive care centers providing HIV/AIDS care and treatment services in eight high volume public health facilities in Kisumu county, Kenya were purposively sampled and subjected to a key informant interview guide. The participants were healthcare service providers who had been at the health facility for at least one year and had experienced the use of any digital health intervention. The study explored views on knowledge about the digital health interventions and perceptions on the impact of the interventions.   Results and Discussion: Most users perceived the digital health interventions to have increased management efficiencies in terms of keeping appointments by clients, reduction in turnaround times of receiving laboratory results, increased accountability for drugs and improved reporting due to real time data on the digital health interventions. Overall, digital health interventions resulted in faster, evidence based and appropriate clinical management decisions.   Research Implications: Technology has a critical role in improving project management practices by enhancing efficiencies and effectiveness in processes and service delivery.   Originality/Value: This study contributes to the literature on digital health which is a new area of interest particularly in Sub-Saharan Africa and Kenya in particular.

This study examines the impact of foreign aid instruments, namely Project Aid and Programme Aid, on economic growth of 27 aid-receiving countries. The study constructs a system of three equations, i.e. growth, investment and human capital. Using the Generalised Method of Moment estimation technique, the study concludes that while Project Aid has a positive and significant impact on economic growth, Programme Aid has an insignificant impact on economic growth. Additionally, the study finds that economic policies do enhance effectiveness of aid at aggregate level. Therefore, the capacity of aid-recipient countries to effectively use their resources for economic development needs due consideration.

Background: Sexually transmitted infections (STI) and unprotected anal intercourse (UAI) have been increasing among men who have sex with men (MSM) in San Francisco. However, HIV incidence has stabilised. Objectives: To describe recent trends in sexual risk behaviour, STI, and HIV incidence among MSM in San Francisco and to assess whether increases in HIV serosorting (that is, selective unprotected sex with partners of the same HIV status) may contribute to preventing further expansion of the epidemic. Methods: The study applies an ecological approach and follows the principles of second generation HIV surveillance. Temporal trends in biological and behavioural measures among MSM were assessed using multiple pre-existing data sources: STI case reporting, prevention outreach programmatic data, and voluntary HIV counselling and testing data. Results: Reported STI cases among MSM rose from 1998 through 2004, although the rate of increase slowed between 2002 and 2004. Rectal gonorrhoea cases increased from 157 to 389 while early syphilis increased from nine to 492. UAI increased overall from 1998 to 2004 (p<0.001) in community based surveys; however, UAI with partners of unknown HIV serostatus decreased overall (p<0.001) among HIV negative MSM, and among HIV positive MSM it declined from 30.7% in 2001 to a low of 21.0% in 2004 (p<0.001). Any UAI, receptive UAI, and insertive UAI with a known HIV positive partner decreased overall from 1998 to 2004 (p<0.001) among MSM seeking anonymous HIV testing and at the STI clinic testing programme. HIV incidence using the serological testing algorithm for recent HIV seroconversion (STARHS) peaked in 1999 at 4.1% at the anonymous testing sites and 4.8% at the STI clinic voluntary testing programme, with rates levelling off through 2004. Conclusions: HIV incidence among MSM appears to have stabilised at a plateau following several years of resurgence. Increases in the selection of sexual partners of concordant HIV serostatus may be contributing to the stabilisation of the epidemic. However, current incidence rates of STI and HIV remain high. Moreover, a strategy of risk reduction by HIV serosorting can be severely limited by imperfect knowledge of one’s own and one’s partners’ serostatus.

Background The Guangxi government initiated two rounds of the Guangxi AIDS Conquering Project (GACP) in 2010 (Phase I) and 2015 (Phase II) to control human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) epidemics. However, the effectiveness of GACP in HIV prevention and treatment has rarely been reported. This study aimed to assess the effectiveness of the GACP implemented in Guangxi, China and provide data for strategy and praxis improvements to achieve Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95 targets. Methods We used spatial approaches to trace the spatiotemporal distribution properties, epidemic trends, and correlation between macroscopic factors and HIV incidence using data from the Chinese HIV/AIDS case reporting system to explore the effects of the GACP. Results During the GACP era, the HIV epidemic stabilized in urban centers, showing a downward trend in the Hengzhou and Binyang Counties in the eastern region, whereas it continued to increase in rural areas of the northwest region, such as the Long’an, Mashan, Shanglin, and Wuming Districts. The linear directional mean (LDM) of HIV infection reported cases displayed a southeast–northwest direction, with an LDM value of 12.52°. Compared with that in Phase I, Hengzhou withdrew from the high-high clustering area, and the west–north suburban counties pulled out the low-low clustering area during Phase II. Significant HIV clusters were identified in the eastern region during Phase I, whereas these clusters emerged in the northwestern areas during Phase II. Regarding HIV, socioeconomic status, population mobility, and medical care levels were the key social drivers of heterogeneous spatial distribution. Conclusions The GACP assisted in effectively managing the HIV epidemic in urban and eastern areas of Nanning City. However, prevention and control efforts in rural regions, particularly those located in the northwest, may not have yielded comparable outcomes. To address this disparity, allocating additional resources and implementing tailored intervention measures for these rural areas are imperative.

Purpose – The purpose of this paper is to illustrate, through an example taken from a recent research project, how rich pictures could be used to more effectively evaluate the delivery of projects. It has as its focus a detailed account of the process of identifying, interviewing and co-developing rich pictures with research respondents. Design/methodology/approach – The paper reports on research that undertook a soft systems methodology (SSM) combined with an action learning approach. Findings – The authors provided, one of eight rich pictures developed as part of a PhD study that used rich pictures as part of wider SSM study into understanding project management best practice. Key findings pertaining to this paper are summarised as follows: rich pictures provide a sound and holistic means to capture context, meaning and impact of situations that are often very difficult to document; use of the more use of artistic and cultural flow of colour, diagrams and symbols in the rich pictures presented a significantly improved resolution of such intangible aspects on a physical artefact such as a picture simply because colour, flow, models and symbols can act as suitable proxy to understanding and resolution; and researcher needs to have an open mind and be rigorous in questioning and interacting with interviewees. Research limitations/implications – This was based on one study only and serves to illustrate the value of an approach rather than a template to be generally used. Practical implications – This provides practical “how to” guidance on developing rich pictures within a SSM research approach. Social implications – The paper illustrates how to portray participants in a particularly sensitive case resulting from a natural disaster. This approach may help people to better express their experiences and to give them a clearer voice in telling their story. Originality/value – The major new contribution that the paper stress this paper makes is one of not only demonstrating that rich picture development is a powerful sensemaking tool but the paper also illustrates how it can be implemented and the authors demonstrated how it allows stakeholders to have a strong and influential voice in project conception and delivery. In reflecting on the use of this tool the paper suggests that it can be effectively applied or adapted for use in a range of disaster recovery situations and even wider in the resolution of purposeful programme development for all range of challenging projects.