NGO Hybridisation as an Outcome of HIV Services Delivery in Global Fund-Supported Programmes in Ukraine

Ukraine has one of the world’s fastest growing HIV rates and was one of the largest recipients of funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GF). Doctoral research recently completed by the author investigates the conduct and practice of international and national nongovernmental organisations (NGOs) as Principal Recipients of GF grants in Ukraine from 2004 to 2012. The study aimed to understand how NGO-based services were implemented in the context of a state-owned health care system. An ethnographic enquiry including 50 participant interviews was conducted in three oblasts in Ukraine, and in its capital, Kyiv, between 2011 and 2013. The paper is based on a doctoral research and presents some of the findings that emerged from the analysis. The author argues that the accent on NGO-run services promoted by GF has rendered the original grass roots, community-based NGOs, to be undermined or replaced by ‘quasi’, hybrid NGOs created by health officials and AIDS centres head doctors. The outcome of such hybridization is a weakened civil society that is dependent on external funding and is unable to genuinely represent their communities.