Health System Strengthening and Scaling Up Antiretroviral Therapy
The Need for Context-Specific Delivery Models: Comment on Schneider et al
Bibliographic Data
| ID | 3972339 |
|---|---|
| Authors | Willemien Van Damme (0000-0002-6344-3007, Instituut voor Tropische Geneeskunde), Wim Van Damme, Guy Kegels (0000-0003-2977-6067, Public Health Institute) |
| Year | 2006 |
| Volume | 14 |
| Issue | 27 |
| Pages | 24-26 |
| Publication date | 2006-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Reproductive Health Matters (JOURNAL) |
| Journal identifiers | ISSN: 0968-8080 • E-ISSN: 1460-9576 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1016/s0968-8080(06)27243-4 |
| PMID | 16713876 |
| OpenAlex | W2033987416 |
| Language | EN |
| Citations received | 6 |
| References cited | 4 |
In this issue Schneider and colleagues point to some of the health system challenges for scaling up antiretroviral (ARV) therapy to the majority of the people living with HIV and AIDS (PLWHAs) who will need it over the coming years. They assume that in low-income countries financial resources and supplies of drugs do not constitute anymore the most important obstacles to widespread ARV use. Indeed many of the countries most affected by HIV now have steeply increased budgets available for AIDS care either from their government budgets or from sources such as the Global Fund PEPFAR and the World Bank. Despite funding being available scaling up ARV therapy has been slower than hoped for. The WHO objective of treating three million people by the end of 2005 (3 by 5) has not been reached; instead an estimated 1.6 million were put on ARVs. Schneider et al identify the need for reorientation of service delivery towards chronic disease care insufficient supply of human resources for health and existing service delivery cultures as key constraints to scaling up. This seems a fair assessment of the situation in many countries of southern Africa. (authors)
Antiretroviral therapy · Business · Developing country · Development economics · Economic growth · Economics · Environmental health · Family medicine · Health care · Health services · Population · Service delivery framework · Viral load · Global Maternal and Child Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Marketing
Health systems, communicable diseases and integration
The effectiveness of text messages support for diabetes self-management
Public health and health professionals in the times of HIV/Aids
Strategies for Optimizing Clinic Efficiency in a Community-Based Antiretroviral Treatment Programme in Uganda
Health systems' responses to the roll-out of antiretroviral therapy (ART) in India
Scaling-up antiretroviral treatment in Southern African countries with human resource shortage
| Unique citing works | 6 |
|---|---|
| Citations per year | 0.33 |
| Citation span | 2008 - 2013 (6) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |