Exploring perceived effects from loss of Pepfar support for outreach in Kenya and Uganda
Bibliographic Data
| ID | 19534006 |
|---|---|
| Authors | Mary Qiu (0000-0003-4814-4591, Johns Hopkins University, corresponding author), Ligia Paina (0000-0002-8403-7825, Johns Hopkins University), Daniela C Rodríguez (0000-0003-2523-1123, Johns Hopkins University), Jess Alan Wilhelm (0000-0001-9299-7984, Johns Hopkins University), Ezinne Eze-Ajoku, Ezinne Eze‐Ajoku (0000-0003-4054-7054, Johns Hopkins University), Alexandra Searle (0000-0002-5792-4349, Johns Hopkins University), Henry Zakumumpa (0000-0002-8169-1151, Makerere University), Freddie Ssengooba (0000-0003-3489-0745, Makerere University), Caroline Mackenzie, Sara Bennett (0000-0001-8094-8798, Johns Hopkins University) |
| Year | 2021 |
| Volume | 17 |
| Issue | 1 |
| Pages | 80-80 |
| Publication date | 2021-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Globalization and Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-8603 • E-ISSN: 1744-8603 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s12992-021-00729-w |
| PMID | 34273988 |
| OpenAlex | W3186158108 |
| Language | EN |
| Citations received | 4 |
| References cited | 41 |
INTRODUCTION: In 2015, the President's Emergency Plan for AIDS Relief undertook policy shifts to increase efficiencies in its programming, including transitioning HIV/AIDS funding away from low burden areas. We examine the impact of these changes on HIV outreach in Kenya and Uganda. METHODS: Qualitative data collection was conducted as a part of a broader mixed-methods evaluation. Two rounds of facility-level case studies and national-level interviews were conducted in Kenya and Uganda, with health facility, sub-national and central Ministry of Health staff, HIV clients, and implementing partners. RESULTS: In both countries, the loss of outreach support affected community-based HIV/AIDS education, testing, peer support, and defaulter tracing. DISCUSSION: Loss of external support for outreach raises concerns for countries' ability to reach the 90-90-90 UNAIDS target, as key linkages between vulnerable communities and health systems can be adversely affected. CONCLUSION: Development partners should consider how to mitigate potential consequences of transition policies to prevent negative effects at the community level
Economic growth · Environmental health · Health services research · Outreach · Political science · Program evaluation · Public health · Social policy · Socioeconomics · Sociology · Tanzania · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Public Administration · Health Policy
The Impact of Donor Funding Disruptions Across the Paediatric HIV Care Cascade in Sub-Saharan Africa (2005–2025)
Geographic prioritisation in Kenya and Uganda
From legacy to integration in the Global Polio Eradication Initiative
The impact of shifts in Pepfar funding policy on HIV services in Eastern Uganda (2015–21)
Linking migration, mobility and HIV
Past, present, and future of global health financing
Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa
Aid alignment
Early marriage and women’s empowerment
Sexual and reproductive health of women living with HIV in Muslim-majority countries
Peer counselors' role in supporting patients' adherence to ART in Ethiopia and Uganda
Migration, pastoralists, HIV infection and access to care
Effectiveness of community outreach HIV prevention programs in Vietnam
Priority setting for health in the context of devolution in Kenya
The differential impacts of Pepfar transition on private for-profit, private not-for-profit and publicly owned health facilities in Uganda
What Is a Case Study and What Is It Good for
| Citations per year | 1.33 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |