60 likes | 309 Views
Investing In HIV Services While Building Kenya’s Health System: PEPFAR’s Support To Prevent Mother-to-Child HIV Transmission. Arin Dutta , PhD Futures Group
E N D
Investing In HIV Services WhileBuilding Kenya’s Health System:PEPFAR’s Support To PreventMother-to-Child HIV Transmission Arin Dutta, PhDFutures Group Authors: Arin Dutta, Nathan Wallace, Peter Savosnick, John Adungosi, Urbanus Mutuku Kioko, Scott Stewart, Mai Hijazi, and BedanGichanga Abstract WEPDE0104 Health Affairs suppl. July 2012
Kenya PMTCT Case Study Research Question • What was the trend in PEPFAR expenditures related to the PMTCT program in Kenyaduring PEPFAR-I and PEPFAR-II across service delivery (SD) and health system strengthening (HSS)? Approach • Collected expenditure and output data from 2005 – 2010 on two USAID partners - FHI 360 and the Elizabeth Glaser Pediatric AIDS Foundation • Examined changes in expenditures over the period, as disaggregated by SD and HSS, per the following denominators • mothers reached with ARVs • infant HIV infections averted
Number of HIV-Infected Mothers Receiving ARV Drugs at FHI360 and EGPAF Sites PEPFAR I
Expenditure per HIV-positive mother provided with ARVs 12% ($567) HSS
Expenditure per Infant Infection Averted HSS * Excludes expenditure on commodities & logistics support
Conclusions • While the HSS proportion of expenditures increased 33%, project outputs increased and expenditures decreased • There is no evidence to suggest that investing in HSS impeded the rapid scale-up of PMTCT services • How investing in HSS might affect future output and costs is uncertain. However, if implemented effectively, HSS should contribute to greater sustainability.