dc.contributor.author | Dutta, A | |
dc.contributor.author | Wallace, N | |
dc.contributor.author | Savosnick, P | |
dc.contributor.author | Adungosi, J | |
dc.contributor.author | Kioko, UM | |
dc.date.accessioned | 2013-07-06T08:40:48Z | |
dc.date.available | 2013-07-06T08:40:48Z | |
dc.date.issued | 2012 | |
dc.identifier.citation | Dutta, A, Wallace N, Savosnick P, Adungosi J, Kioko UM. 2012. Investing In HIV Services While Building Kenya’s Health System: PEPFAR’s Support To Prevent Mother-To-Child HIV Transmission. Health Aaffairs Journal. | en |
dc.identifier.uri | http://www.healthpolicyinitiative.com/Publications/Documents/1493_1_Dutta_HealthAffairs_PMTCT.pdf | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/46031 | |
dc.description.abstract | Trade-offs may exist between investments to promote health
system strengthening, such as investments in facilities and training, and
the rapid scale-up of HIV/AIDS services. We analyzed trends in
expenditures to support the prevention of mother-to-child transmission
of HIV in Kenya under the President
s Emergency Plan for AIDS Relief
(PEPFAR) from 2005 to 2010. We examined how expenditures changed
over time, considering health system strengthening alongside direct
treatment of patients. We focused on two organizations carrying out
contracts under PEPFAR: the Elizabeth Glaser Pediatric AIDS Foundation
and FHI360 (formerly Family Health International), a nonprofit health
and development organization. We found that the average unit
expenditure, or the spending on goods and services per mother living
with HIV who was provided with antiretroviral drugs, declined by
52 percent, from $567 to $271, during this time period. The unit
expenditure per mother-to-infant transmission averted declined by
66 percent, from $7,117 to $2,440. Meanwhile, the health system
strengthening proportion of unit expenditure increased from 12 percent
to 33 percent during the same time period. The analysis suggests that
PEPFAR investments in prevention of mother-to-child transmission of
HIV in Kenya became more efficient over time, and that there was no
strong evidence of a trade-off between scaling up services and investing in healthy systems | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi, | en |
dc.title | Investing In HIV Services While Building Kenya ’ s Health System: PEPFAR ’ s Support To Prevent Mother-To-Child HIV Transmission | en |
dc.type | Article | en |
local.publisher | School of economics, | en |