1 / 13

Global HIV/AIDS Initiatives (GHIs) in Zambia

Global HIV/AIDS Initiatives (GHIs) in Zambia. How HIV/AIDS scale-up has impacted on non- HIV priority services in Zambia? Joseph Simbaya Aisling Walsh Phillimon Ndubani Pat Dicker Ruairi Brugha. Zambia background. HIV prevalence estimate: 14.3%

daryl
Download Presentation

Global HIV/AIDS Initiatives (GHIs) in Zambia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Global HIV/AIDS Initiatives (GHIs) in Zambia How HIV/AIDS scale-up has impacted on non- HIV priority services in Zambia? Joseph Simbaya Aisling Walsh Phillimon Ndubani Pat Dicker RuairiBrugha

  2. Zambia background • HIV prevalence estimate: 14.3% • 74% of HIV funding from external donors (mainly Global Fund and PEPFAR) • US$ 6 per capita (2003) to US$ 10 (2006) for HIV control • concerns about the effects of large levels of HIV funding on non-HIV services

  3. Study Objective Assess the effect of HIV/AIDS scale-up on non-HIV service delivery and coverage

  4. Methods • Review of 39 health facility client record trends from 3 districts covering 2004-07 • Intra-facility analyses to compare service trends within facilities • how are non-HIV services performing in facilities where HIV scale-up is happening? • Spearman rank correlations measured.

  5. Scale-up in ART, VCT, PMTCT client nos.

  6. ART Coverage 2004 to 2007

  7. Trends in infant vaccination and ART, 2004-07

  8. Reproductive health service coverage

  9. Intrafacility correlations between HIV and non-HIV services, 2005-07 (rank correlations > 0.3 highlighted).

  10. Correlation in ART and Family Planning service trends, 2005-07

  11. Correlation in VCT and Family Planning client trends, 2005-07

  12. Conclusions • Positive associations between HIV and non-HIV scale-up supports hypothesis that HIV funding has positive systems effects. • Further research needed: • replicate this approach in larger representative samples in other settings. • Explanatory studies, interviewing health workers and managers, to understand what health systems factors contribute to positive and negative synergies between priority services

  13. Collaborating Institutions • Funders • Open Society Institute • DANIDA • Irish Aid • Implementing Institutions • Frontiers Development and Research Group • Institute of Economic and Social Research, University of Zambia • Collaborating Institutions • Royal College of Surgeons in Ireland • London School of Hygiene and Tropical Medicine

More Related