Project delivery in HIV/AIDS and TB in Southern Africa: The cross-cultural management imperative

Journal of Health Organization and Management

Purpose - This paper reports the findings of a study that investigated a possible gap in global inputs into the fight against HIV/AIDS and TB co-infection, and outputs in terms of results achieved. This may be due, partly, to inappropriate management regimes within the global health governance structure.

Design/methodology/approach - The factors facilitating or hampering project service delivery are examined by looking at twelve case studies in Botswana and South Africa. These data are complemented with seven semi-structured interviews with donor organizations and NGOs conducted in the North.

Findings - Results suggest that there is a disjuncture between the global and local level that affects project delivery.

Research limitations/implications - The empirical research was conducted by interdisciplinary teams that had implication for focus, yet provided value through a broadened perspective

Practical implications - These are in development praxis by highlighting the need to focus more critically on cross-cultural management issues within the global health governance structure, and indeed within international development as a whole.

Originality/value - The article’s main theoretical contributions are looking at global project health delivery from a cross-cultural management perspective