Global HIV/AIDS Initiatives Network

Researching National and Sub-National Effects of Global HIV/AIDS Initiatives at the Country Level

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Total records returned by search 69

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Records 51 to 60

• What Impact do Global Health Initiatives have on human resources for antiretroviral treatment roll-out? A qualitative policy analysis of implementation processes in Zambia.

  Although GHIs do not provide significant funding for human resources directly, their interventions have had significant impact on human resources for health at all levels.
  

• Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population: An Evaluation of World Bank Group Support Since 1997.

  Bank lending has shifted in favor of HIV/ AIDS, with 40% of total HNP project portfolio having a HIV/AIDS focus, but there are signs that the high level of earmarked disease funds may be creating distortions in the health systems of some small countries. In addition:
  

• An assessment of the interactions between Global Health Initiatives and country health systems.

  This report presents both positive and negative findings on the impact of GHIs on service delivery, financing, governance, health workforce, health information systems, and supply management systems.
  

• The President's Emergency Plan for AIDS Relief in Africa: An Evaluation of Outcomes.

  By the end of 2007, PEPFAR spent more than $6 billion on HIV care, prevention, and treatment in the 12 focus countries examined in this study. In those countries, a reduction in the death rate of 10.5% implies that about 1.2 million deaths were averted because of PEPFAR's activities. This large benefit cost about $2450 per death averted, assuming that PEPFAR directed half of its budget toward treatment.
  

• PEPFAR Public Health Evaluation Phase 1 Uganda

  Findings on patient access, staffing, service provision, drug availability, patient requirements, health infrastructure, and health management information systems are presented in this survey
  

• The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control.

  Presentation of findings of the effects at national and sub-national of the Global Fund, PEPFAR, and the World Bank's MAP, focusing on national policy, coordination and planning, stakeholder involvement, disbursement of funds, M&E, and human resources.
  

• Tracking Global HIV/AIDS Initiatives and their Impact on the Health System in Ukraine: Final Report.

  Global Fund support has increased delivery of ART from 53 clients in 2003 to approximately 9000 clients in 2009. The % of PLWHA receiving ART increased from 21% in 2005 to 35% in 2007. Scale-up is limited by a lack of trained social workers and social institutions outside large cities.
  

• The Impact of Collective Efforts on the Reduction of the Disease Burden of AIDS, Tuberculosis, and Malaria. Global Fund Five-Year Evaluation: Study Area 3, Final Report.

  Significant findings are presented in this 5 year evaluation of the Global Fund - highlighting possible decline in HIV incidence rate in some countries, and rapid scale up of funding for HIV/AIDS, access and coverage; but also major gaps in support for national health information systems, and poor drug availability.
  

• The National Response to the HIV/AIDS Epidemic in Peru: Accomplishments and Gaps - A Review.

  The national HIV/AIDS response in Peru is beginning to counter discrimination and benefits from some civil society input, but is informed by an insufficient model and an ineffective M&E system. The Global Fund has improved CSO involvement but CCM remains problematic.
  

• An Evaluation of GAVI Alliance Efforts to Introduce New Vaccines via the Accelerated Development and Introduction Plans (ADIPs) and the Hib Initiative (HI).

  Response of interviewees to impact of ADIPS and HI at country level provide examples of both positive and negative effects.
  

Further information can be obtained from Aisling Walsh or from Neil Spicer, or from any of the individual country researchers.

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