Answer:
Disruption of recipient countries' national policies, especially by diverting governments from concerted efforts to improve health systems and re-verticalization of planning, management, and monitoring and evaluation systems, are all negative effects.
Explanation:
Negative effects include distortion of recipient countries' national policies, notably through distracting governments from coordinated efforts to strengthen health systems and re-verticalization of planning, management and monitoring and evaluation systems.
For more information, navigate to: https://pubmed.ncbi.nlm.nih.gov/19491291/
Hope this helps; have a great day!