Changing donor funding and the challenges of integrated HIV treatment
Donor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three pers...
| প্রধান লেখক: | , , |
|---|---|
| বিন্যাস: | Journal article |
| ভাষা: | English |
| প্রকাশিত: |
American Medical Association
2016
|
| _version_ | 1826280974030209024 |
|---|---|
| author | Nattrass, N Hodes, R Cluver, L |
| author_facet | Nattrass, N Hodes, R Cluver, L |
| author_sort | Nattrass, N |
| collection | OXFORD |
| description | Donor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three perspectives: first, through a broad analysis of the changing policy context of health care financing; second, through an account of changing priorities for HIV treatment in South Africa; and third, through a description of some clinical consequences that the authors observed in a research study examining adherence to antiretroviral therapy (ART) and sexual health among adolescents. We note that AIDS responses are neither completely vertical nor horizontal but rather increasingly diagonal, as disease-specific protocols operate alongside integrated supply chain management, human resource development, and preventive screening. We conclude that health care programs are better conceived of as networks of policies requiring different degrees of integration into communities. |
| first_indexed | 2024-03-07T00:21:48Z |
| format | Journal article |
| id | oxford-uuid:7ccd8b0e-1cb5-4c1e-97f1-e52bc87c7959 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:21:48Z |
| publishDate | 2016 |
| publisher | American Medical Association |
| record_format | dspace |
| spelling | oxford-uuid:7ccd8b0e-1cb5-4c1e-97f1-e52bc87c79592022-03-26T20:59:23ZChanging donor funding and the challenges of integrated HIV treatmentJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7ccd8b0e-1cb5-4c1e-97f1-e52bc87c7959EnglishSymplectic Elements at OxfordAmerican Medical Association2016Nattrass, NHodes, RCluver, LDonor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three perspectives: first, through a broad analysis of the changing policy context of health care financing; second, through an account of changing priorities for HIV treatment in South Africa; and third, through a description of some clinical consequences that the authors observed in a research study examining adherence to antiretroviral therapy (ART) and sexual health among adolescents. We note that AIDS responses are neither completely vertical nor horizontal but rather increasingly diagonal, as disease-specific protocols operate alongside integrated supply chain management, human resource development, and preventive screening. We conclude that health care programs are better conceived of as networks of policies requiring different degrees of integration into communities. |
| spellingShingle | Nattrass, N Hodes, R Cluver, L Changing donor funding and the challenges of integrated HIV treatment |
| title | Changing donor funding and the challenges of integrated HIV treatment |
| title_full | Changing donor funding and the challenges of integrated HIV treatment |
| title_fullStr | Changing donor funding and the challenges of integrated HIV treatment |
| title_full_unstemmed | Changing donor funding and the challenges of integrated HIV treatment |
| title_short | Changing donor funding and the challenges of integrated HIV treatment |
| title_sort | changing donor funding and the challenges of integrated hiv treatment |
| work_keys_str_mv | AT nattrassn changingdonorfundingandthechallengesofintegratedhivtreatment AT hodesr changingdonorfundingandthechallengesofintegratedhivtreatment AT cluverl changingdonorfundingandthechallengesofintegratedhivtreatment |