Changing Donor Funding and the Challenges of Integrated HIV Treatment
Bibliographic Data
| ID | 15747225 |
|---|---|
| Authors | Nicoli Nattra (0000-0002-8422-5631, University of Cape Town, corresponding author), Rebecca Hodes (0000-0002-2502-803X, Western Cape Department of Health), Lucie D Cluver (0000-0002-0418-835X, University of Cape Town) |
| Year | 2016 |
| Volume | 18 |
| Issue | 7 |
| Pages | 681-690 |
| Publication date | 2016-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The AMA Journal of Ethic (JOURNAL) |
| Journal identifiers | ISSN: 2376-6980 • E-ISSN: 2376-6980 |
| Publisher | American Medical Association (PUBLISHER • US) |
| DOI | 10.1001/journalofethics.2016.18.7.ecas3-1607 |
| PMID | 27437818 |
| OpenAlex | W2471294979 |
| Language | EN |
| Citations received | 2 |
| References cited | 9 |
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
Antiretroviral therapy · Business · Context (archaeology · Disease · Economic growth · Economics · Family medicine · Geography · Health care · Human immunodeficiency virus (HIV · Pathology · Viral load · Global Maternal and Child Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine
Community-based approaches to HIV treatment in resource-poor settings
Increases in Adult Life Expectancy in Rural South Africa
The Joint United Nations Programme on HIV/Aids
Investment in HIV/Aids programs
Sex and secrecy
Piloting antiretroviral treatment in South Africa
The Culture of Illegal Abortion in South Africa
Millennium Development Goal 6
On the fault-line
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |