The implementation of a global fund grant in Lesotho: Applying a framework on knowledge absorptive capacity

▸ Knowledge absorptive capacity frameworks can help explain how recipient governments manage donor aid requirements and conditions. ▸ Organisational determinants moderate the of recipient organisations to effectively deliver donor-funded health programmes. ▸ Principal recipients, sub-recipients and sub-sub recipients in Lesotho differed in their capacity to absorb knowledge needed to meet the requirements related to the implementation of Global Fund Grants. ▸ Government ministries, when confronted with new and complex donor requirements, need to develop flexible organisational forms and coordination capabilities. ▸ African governments are particularly vulnerable to loss of trained staff, undermining organisational knowledge and capacity.