Investment in HIV/AIDS programs: Does it help strengthen health systems in developing countries? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-12

AUTHORS

Dongbao Yu, Yves Souteyrand, Mazuwa A Banda, Joan Kaufman, Joseph H Perriëns

ABSTRACT

BACKGROUND: There is increasing debate about whether the scaled-up investment in HIV/AIDS programs is strengthening or weakening the fragile health systems of many developing countries. This article examines and assesses the evidence and proposes ways forward. DISCUSSION: Considerably increased resources have been brought into countries for HIV/AIDS programs by major Global Health Initiatives. Among the positive impacts are the increased awareness of and priority given to public health by governments. In addition, services to people living with HIV/AIDS have rapidly expanded. In many countries infrastructure and laboratories have been strengthened, and in some, primary health care services have been improved. The effect of AIDS on the health work force has been lessened by the provision of antiretroviral treatment to HIV-infected health care workers, by training, and, to an extent, by task-shifting. However, there are reports of concerns, too - among them, a temporal association between increasing AIDS funding and stagnant reproductive health funding, and accusations that scarce personnel are siphoned off from other health care services by offers of better-paying jobs in HIV/AIDS programs. Unfortunately, there is limited hard evidence of these health system impacts. Because service delivery for AIDS has not yet reached a level that could conceivably be considered "as close to Universal Access as possible," countries and development partners must maintain the momentum of investment in HIV/AIDS programs. At the same time, it should be recognized that global action for health is even more underfunded than is the response to the HIV epidemic. The real issue is therefore not whether to fund AIDS or health systems, but how to increase funding for both. SUMMARY: The evidence is mixed - mostly positive but some negative - as to the impact on health systems of the scaled-up responses to HIV/AIDS driven primarily by global health partnerships. Current scaled-up responses to HIV/AIDS must be maintained and strengthened. Instead of endless debate about the comparative advantages of vertical and horizontal approaches, partners should focus on the best ways for investments in response to HIV to also broadly strengthen the primary health care systems. More... »

PAGES

8

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1744-8603-4-8

DOI

http://dx.doi.org/10.1186/1744-8603-4-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006740873

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18796148


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "World Health Organization", 
          "id": "https://www.grid.ac/institutes/grid.3575.4", 
          "name": [
            "HIV Department, World Health Organization, Avenue Appia, 1211, Geneva, Switzerland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Yu", 
        "givenName": "Dongbao", 
        "id": "sg:person.01135307067.83", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01135307067.83"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "World Health Organization", 
          "id": "https://www.grid.ac/institutes/grid.3575.4", 
          "name": [
            "HIV Department, World Health Organization, Avenue Appia, 1211, Geneva, Switzerland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Souteyrand", 
        "givenName": "Yves", 
        "id": "sg:person.0742525444.86", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0742525444.86"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "World Health Organization", 
          "id": "https://www.grid.ac/institutes/grid.3575.4", 
          "name": [
            "HIV Department, World Health Organization, Avenue Appia, 1211, Geneva, Switzerland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Banda", 
        "givenName": "Mazuwa A", 
        "id": "sg:person.01251535467.19", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01251535467.19"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Brandeis University", 
          "id": "https://www.grid.ac/institutes/grid.253264.4", 
          "name": [
            "AIDS Public Policy Project, John F. Kennedy School of Government, Harvard University, & Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, 02454, Waltham, MA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kaufman", 
        "givenName": "Joan", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "World Health Organization", 
          "id": "https://www.grid.ac/institutes/grid.3575.4", 
          "name": [
            "HIV Department, World Health Organization, Avenue Appia, 1211, Geneva, Switzerland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Perri\u00ebns", 
        "givenName": "Joseph H", 
        "id": "sg:person.014170033204.59", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014170033204.59"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1056/nejmsb071889", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000300663"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1747-7093.2007.00100.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000593568"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejme058261", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002368771"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-200100005-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006897944"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-200100005-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006897944"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-200100005-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006897944"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0968-8080(07)30337-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007076231"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000298105.79484.62", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009713176"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000298105.79484.62", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009713176"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/hpm.725", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010057951"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-3156.2006.01800.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011407295"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-3156.2006.01800.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011407295"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-199910220-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011452672"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-199910220-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011452672"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0277-9536(83)90137-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012207984"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69158-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012651323"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(07)61386-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018301500"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(04)17482-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023599805"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(04)16597-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024400495"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1057/palgrave.jphp.3190013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025329887", 
          "https://doi.org/10.1057/palgrave.jphp.3190013"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapol/czm045", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026647719"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-3156.2007.01934.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026982115"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-3156.2007.01934.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026982115"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69164-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029697767"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69434-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030587553"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/09540120601114485", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031355401"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.39569.497708.94", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033660872"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.39335.520463.94", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035326609"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000327637.59672.02", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035594606"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000327637.59672.02", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035594606"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000327637.59672.02", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035594606"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapro/dai018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036583209"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.socscimed.2006.09.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036862913"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0968-8080(06)27232-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037056463"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000279702.71062.52", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046750970"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aids.0000279702.71062.52", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046750970"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69163-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047142732"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-3156.2003.01188.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047314172"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60309-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047611018"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.39469.432118.ad", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047697529"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(07)60688-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048104128"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmoa051620", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050716924"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0952076707086256", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1063880092"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0952076707086256", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1063880092"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2105/ajph.2004.040121", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068842513"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2471/blt.06.038315", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1070836859"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5089/9781451845709.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1072575454"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074983426", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1075156721", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1076606616", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1076984992", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077047180", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077523942", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2008-12", 
    "datePublishedReg": "2008-12-01", 
    "description": "BACKGROUND: There is increasing debate about whether the scaled-up investment in HIV/AIDS programs is strengthening or weakening the fragile health systems of many developing countries. This article examines and assesses the evidence and proposes ways forward.\nDISCUSSION: Considerably increased resources have been brought into countries for HIV/AIDS programs by major Global Health Initiatives. Among the positive impacts are the increased awareness of and priority given to public health by governments. In addition, services to people living with HIV/AIDS have rapidly expanded. In many countries infrastructure and laboratories have been strengthened, and in some, primary health care services have been improved. The effect of AIDS on the health work force has been lessened by the provision of antiretroviral treatment to HIV-infected health care workers, by training, and, to an extent, by task-shifting. However, there are reports of concerns, too - among them, a temporal association between increasing AIDS funding and stagnant reproductive health funding, and accusations that scarce personnel are siphoned off from other health care services by offers of better-paying jobs in HIV/AIDS programs. Unfortunately, there is limited hard evidence of these health system impacts. Because service delivery for AIDS has not yet reached a level that could conceivably be considered \"as close to Universal Access as possible,\" countries and development partners must maintain the momentum of investment in HIV/AIDS programs. At the same time, it should be recognized that global action for health is even more underfunded than is the response to the HIV epidemic. The real issue is therefore not whether to fund AIDS or health systems, but how to increase funding for both.\nSUMMARY: The evidence is mixed - mostly positive but some negative - as to the impact on health systems of the scaled-up responses to HIV/AIDS driven primarily by global health partnerships. Current scaled-up responses to HIV/AIDS must be maintained and strengthened. Instead of endless debate about the comparative advantages of vertical and horizontal approaches, partners should focus on the best ways for investments in response to HIV to also broadly strengthen the primary health care systems.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1744-8603-4-8", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1035292", 
        "issn": [
          "1744-8603"
        ], 
        "name": "Globalization and Health", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "4"
      }
    ], 
    "name": "Investment in HIV/AIDS programs: Does it help strengthen health systems in developing countries?", 
    "pagination": "8", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "201bdb8e32b29a6a8924e451f28948e7fa87f855e47719af7e13bd9f9c6ba6cc"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "18796148"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101245734"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1744-8603-4-8"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1006740873"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1744-8603-4-8", 
      "https://app.dimensions.ai/details/publication/pub.1006740873"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T00:15", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8695_00000510.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1744-8603-4-8"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1744-8603-4-8'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1744-8603-4-8'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1744-8603-4-8'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1744-8603-4-8'


 

This table displays all metadata directly associated to this object as RDF triples.

222 TRIPLES      21 PREDICATES      72 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1744-8603-4-8 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author N80ceee9078834e73a03e5ad55d071e79
4 schema:citation sg:pub.10.1057/palgrave.jphp.3190013
5 https://app.dimensions.ai/details/publication/pub.1074983426
6 https://app.dimensions.ai/details/publication/pub.1075156721
7 https://app.dimensions.ai/details/publication/pub.1076606616
8 https://app.dimensions.ai/details/publication/pub.1076984992
9 https://app.dimensions.ai/details/publication/pub.1077047180
10 https://app.dimensions.ai/details/publication/pub.1077523942
11 https://doi.org/10.1002/hpm.725
12 https://doi.org/10.1016/0277-9536(83)90137-5
13 https://doi.org/10.1016/j.socscimed.2006.09.001
14 https://doi.org/10.1016/s0140-6736(04)16597-5
15 https://doi.org/10.1016/s0140-6736(04)17482-5
16 https://doi.org/10.1016/s0140-6736(06)69158-7
17 https://doi.org/10.1016/s0140-6736(06)69163-0
18 https://doi.org/10.1016/s0140-6736(06)69164-2
19 https://doi.org/10.1016/s0140-6736(06)69434-8
20 https://doi.org/10.1016/s0140-6736(07)60688-6
21 https://doi.org/10.1016/s0140-6736(07)61386-5
22 https://doi.org/10.1016/s0140-6736(08)60309-8
23 https://doi.org/10.1016/s0968-8080(06)27232-x
24 https://doi.org/10.1016/s0968-8080(07)30337-6
25 https://doi.org/10.1046/j.1365-3156.2003.01188.x
26 https://doi.org/10.1056/nejme058261
27 https://doi.org/10.1056/nejmoa051620
28 https://doi.org/10.1056/nejmsb071889
29 https://doi.org/10.1080/09540120601114485
30 https://doi.org/10.1093/heapol/czm045
31 https://doi.org/10.1093/heapro/dai018
32 https://doi.org/10.1097/00002030-199910220-00020
33 https://doi.org/10.1097/00002030-200100005-00011
34 https://doi.org/10.1097/01.aids.0000279702.71062.52
35 https://doi.org/10.1097/01.aids.0000298105.79484.62
36 https://doi.org/10.1097/01.aids.0000327637.59672.02
37 https://doi.org/10.1111/j.1365-3156.2006.01800.x
38 https://doi.org/10.1111/j.1365-3156.2007.01934.x
39 https://doi.org/10.1111/j.1747-7093.2007.00100.x
40 https://doi.org/10.1136/bmj.39335.520463.94
41 https://doi.org/10.1136/bmj.39469.432118.ad
42 https://doi.org/10.1136/bmj.39569.497708.94
43 https://doi.org/10.1177/0952076707086256
44 https://doi.org/10.2105/ajph.2004.040121
45 https://doi.org/10.2471/blt.06.038315
46 https://doi.org/10.5089/9781451845709.001
47 schema:datePublished 2008-12
48 schema:datePublishedReg 2008-12-01
49 schema:description BACKGROUND: There is increasing debate about whether the scaled-up investment in HIV/AIDS programs is strengthening or weakening the fragile health systems of many developing countries. This article examines and assesses the evidence and proposes ways forward. DISCUSSION: Considerably increased resources have been brought into countries for HIV/AIDS programs by major Global Health Initiatives. Among the positive impacts are the increased awareness of and priority given to public health by governments. In addition, services to people living with HIV/AIDS have rapidly expanded. In many countries infrastructure and laboratories have been strengthened, and in some, primary health care services have been improved. The effect of AIDS on the health work force has been lessened by the provision of antiretroviral treatment to HIV-infected health care workers, by training, and, to an extent, by task-shifting. However, there are reports of concerns, too - among them, a temporal association between increasing AIDS funding and stagnant reproductive health funding, and accusations that scarce personnel are siphoned off from other health care services by offers of better-paying jobs in HIV/AIDS programs. Unfortunately, there is limited hard evidence of these health system impacts. Because service delivery for AIDS has not yet reached a level that could conceivably be considered "as close to Universal Access as possible," countries and development partners must maintain the momentum of investment in HIV/AIDS programs. At the same time, it should be recognized that global action for health is even more underfunded than is the response to the HIV epidemic. The real issue is therefore not whether to fund AIDS or health systems, but how to increase funding for both. SUMMARY: The evidence is mixed - mostly positive but some negative - as to the impact on health systems of the scaled-up responses to HIV/AIDS driven primarily by global health partnerships. Current scaled-up responses to HIV/AIDS must be maintained and strengthened. Instead of endless debate about the comparative advantages of vertical and horizontal approaches, partners should focus on the best ways for investments in response to HIV to also broadly strengthen the primary health care systems.
50 schema:genre research_article
51 schema:inLanguage en
52 schema:isAccessibleForFree true
53 schema:isPartOf Na7db3fe342424a1e88c8636d3f997495
54 Nfafbee41375b48d0861758b8adb91eb4
55 sg:journal.1035292
56 schema:name Investment in HIV/AIDS programs: Does it help strengthen health systems in developing countries?
57 schema:pagination 8
58 schema:productId N022332e2b9104d0ab5f2964c27323294
59 N06da569f863842fd8f3a2b55dbc81672
60 N8064ede066a548e5bc0414f73552008d
61 Nb3e57a423a01478185a94aadab618fc8
62 Nb87ec79180df4486b9b2e2d047207a59
63 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006740873
64 https://doi.org/10.1186/1744-8603-4-8
65 schema:sdDatePublished 2019-04-11T00:15
66 schema:sdLicense https://scigraph.springernature.com/explorer/license/
67 schema:sdPublisher Neb02d0f3ecbd49a08026bec22b11b968
68 schema:url http://link.springer.com/10.1186%2F1744-8603-4-8
69 sgo:license sg:explorer/license/
70 sgo:sdDataset articles
71 rdf:type schema:ScholarlyArticle
72 N022332e2b9104d0ab5f2964c27323294 schema:name readcube_id
73 schema:value 201bdb8e32b29a6a8924e451f28948e7fa87f855e47719af7e13bd9f9c6ba6cc
74 rdf:type schema:PropertyValue
75 N06da569f863842fd8f3a2b55dbc81672 schema:name doi
76 schema:value 10.1186/1744-8603-4-8
77 rdf:type schema:PropertyValue
78 N41988d9dfe3040a9b78bcbbdefe30d99 rdf:first sg:person.014170033204.59
79 rdf:rest rdf:nil
80 N5b3b02676f8141d5bdde717fc6639add schema:affiliation https://www.grid.ac/institutes/grid.253264.4
81 schema:familyName Kaufman
82 schema:givenName Joan
83 rdf:type schema:Person
84 N8064ede066a548e5bc0414f73552008d schema:name pubmed_id
85 schema:value 18796148
86 rdf:type schema:PropertyValue
87 N80ceee9078834e73a03e5ad55d071e79 rdf:first sg:person.01135307067.83
88 rdf:rest Ncbf49f25b4d64c81bdf8041a4845ab05
89 Na13c05c592e64ceaadf401c0ea3cfd34 rdf:first sg:person.01251535467.19
90 rdf:rest Ne50731afb4c14d2e977af18f9e8e3f35
91 Na7db3fe342424a1e88c8636d3f997495 schema:volumeNumber 4
92 rdf:type schema:PublicationVolume
93 Nb3e57a423a01478185a94aadab618fc8 schema:name nlm_unique_id
94 schema:value 101245734
95 rdf:type schema:PropertyValue
96 Nb87ec79180df4486b9b2e2d047207a59 schema:name dimensions_id
97 schema:value pub.1006740873
98 rdf:type schema:PropertyValue
99 Ncbf49f25b4d64c81bdf8041a4845ab05 rdf:first sg:person.0742525444.86
100 rdf:rest Na13c05c592e64ceaadf401c0ea3cfd34
101 Ne50731afb4c14d2e977af18f9e8e3f35 rdf:first N5b3b02676f8141d5bdde717fc6639add
102 rdf:rest N41988d9dfe3040a9b78bcbbdefe30d99
103 Neb02d0f3ecbd49a08026bec22b11b968 schema:name Springer Nature - SN SciGraph project
104 rdf:type schema:Organization
105 Nfafbee41375b48d0861758b8adb91eb4 schema:issueNumber 1
106 rdf:type schema:PublicationIssue
107 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
108 schema:name Medical and Health Sciences
109 rdf:type schema:DefinedTerm
110 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
111 schema:name Public Health and Health Services
112 rdf:type schema:DefinedTerm
113 sg:journal.1035292 schema:issn 1744-8603
114 schema:name Globalization and Health
115 rdf:type schema:Periodical
116 sg:person.01135307067.83 schema:affiliation https://www.grid.ac/institutes/grid.3575.4
117 schema:familyName Yu
118 schema:givenName Dongbao
119 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01135307067.83
120 rdf:type schema:Person
121 sg:person.01251535467.19 schema:affiliation https://www.grid.ac/institutes/grid.3575.4
122 schema:familyName Banda
123 schema:givenName Mazuwa A
124 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01251535467.19
125 rdf:type schema:Person
126 sg:person.014170033204.59 schema:affiliation https://www.grid.ac/institutes/grid.3575.4
127 schema:familyName Perriëns
128 schema:givenName Joseph H
129 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014170033204.59
130 rdf:type schema:Person
131 sg:person.0742525444.86 schema:affiliation https://www.grid.ac/institutes/grid.3575.4
132 schema:familyName Souteyrand
133 schema:givenName Yves
134 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0742525444.86
135 rdf:type schema:Person
136 sg:pub.10.1057/palgrave.jphp.3190013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025329887
137 https://doi.org/10.1057/palgrave.jphp.3190013
138 rdf:type schema:CreativeWork
139 https://app.dimensions.ai/details/publication/pub.1074983426 schema:CreativeWork
140 https://app.dimensions.ai/details/publication/pub.1075156721 schema:CreativeWork
141 https://app.dimensions.ai/details/publication/pub.1076606616 schema:CreativeWork
142 https://app.dimensions.ai/details/publication/pub.1076984992 schema:CreativeWork
143 https://app.dimensions.ai/details/publication/pub.1077047180 schema:CreativeWork
144 https://app.dimensions.ai/details/publication/pub.1077523942 schema:CreativeWork
145 https://doi.org/10.1002/hpm.725 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010057951
146 rdf:type schema:CreativeWork
147 https://doi.org/10.1016/0277-9536(83)90137-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012207984
148 rdf:type schema:CreativeWork
149 https://doi.org/10.1016/j.socscimed.2006.09.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036862913
150 rdf:type schema:CreativeWork
151 https://doi.org/10.1016/s0140-6736(04)16597-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024400495
152 rdf:type schema:CreativeWork
153 https://doi.org/10.1016/s0140-6736(04)17482-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023599805
154 rdf:type schema:CreativeWork
155 https://doi.org/10.1016/s0140-6736(06)69158-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012651323
156 rdf:type schema:CreativeWork
157 https://doi.org/10.1016/s0140-6736(06)69163-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047142732
158 rdf:type schema:CreativeWork
159 https://doi.org/10.1016/s0140-6736(06)69164-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029697767
160 rdf:type schema:CreativeWork
161 https://doi.org/10.1016/s0140-6736(06)69434-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030587553
162 rdf:type schema:CreativeWork
163 https://doi.org/10.1016/s0140-6736(07)60688-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048104128
164 rdf:type schema:CreativeWork
165 https://doi.org/10.1016/s0140-6736(07)61386-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018301500
166 rdf:type schema:CreativeWork
167 https://doi.org/10.1016/s0140-6736(08)60309-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047611018
168 rdf:type schema:CreativeWork
169 https://doi.org/10.1016/s0968-8080(06)27232-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1037056463
170 rdf:type schema:CreativeWork
171 https://doi.org/10.1016/s0968-8080(07)30337-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007076231
172 rdf:type schema:CreativeWork
173 https://doi.org/10.1046/j.1365-3156.2003.01188.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1047314172
174 rdf:type schema:CreativeWork
175 https://doi.org/10.1056/nejme058261 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002368771
176 rdf:type schema:CreativeWork
177 https://doi.org/10.1056/nejmoa051620 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050716924
178 rdf:type schema:CreativeWork
179 https://doi.org/10.1056/nejmsb071889 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000300663
180 rdf:type schema:CreativeWork
181 https://doi.org/10.1080/09540120601114485 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031355401
182 rdf:type schema:CreativeWork
183 https://doi.org/10.1093/heapol/czm045 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026647719
184 rdf:type schema:CreativeWork
185 https://doi.org/10.1093/heapro/dai018 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036583209
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1097/00002030-199910220-00020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011452672
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1097/00002030-200100005-00011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006897944
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1097/01.aids.0000279702.71062.52 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046750970
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1097/01.aids.0000298105.79484.62 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009713176
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1097/01.aids.0000327637.59672.02 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035594606
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1111/j.1365-3156.2006.01800.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1011407295
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1111/j.1365-3156.2007.01934.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1026982115
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1111/j.1747-7093.2007.00100.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1000593568
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1136/bmj.39335.520463.94 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035326609
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1136/bmj.39469.432118.ad schema:sameAs https://app.dimensions.ai/details/publication/pub.1047697529
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1136/bmj.39569.497708.94 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033660872
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1177/0952076707086256 schema:sameAs https://app.dimensions.ai/details/publication/pub.1063880092
210 rdf:type schema:CreativeWork
211 https://doi.org/10.2105/ajph.2004.040121 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068842513
212 rdf:type schema:CreativeWork
213 https://doi.org/10.2471/blt.06.038315 schema:sameAs https://app.dimensions.ai/details/publication/pub.1070836859
214 rdf:type schema:CreativeWork
215 https://doi.org/10.5089/9781451845709.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1072575454
216 rdf:type schema:CreativeWork
217 https://www.grid.ac/institutes/grid.253264.4 schema:alternateName Brandeis University
218 schema:name AIDS Public Policy Project, John F. Kennedy School of Government, Harvard University, & Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street MS 035, 02454, Waltham, MA, USA
219 rdf:type schema:Organization
220 https://www.grid.ac/institutes/grid.3575.4 schema:alternateName World Health Organization
221 schema:name HIV Department, World Health Organization, Avenue Appia, 1211, Geneva, Switzerland
222 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...