ArticleAIDS (London, England)2012
Transitioning HIV care and treatment programs in southern Africa to full local management.
Article in AIDS (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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The trial behind it
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Who cites it
38 citing papers in PubMed.
- Can combination prevention strategies reduce HIV transmission in generalized epidemic settings in Africa? The HPTN 071 (PopART) study plan in South Africa and Zambia.Journal of acquired immune deficiency syndromes (1999) · 2013Trial
- Early impacts of PEPFAR funding freeze on HIV service delivery in mid-Western Uganda.BMC health services research · 2026Article
- Transitioning a large-scale HIV/AIDS treatment program from an international partner to a local Nigerian implementing partner: a before-after early outcomes assessment study.BMC health services research · 2025Article
- Quality of Life in HIV-Positive People in Poland Treated in the City of Bialystok: A Cross-Sectional Study.Journal of clinical medicine · 2023Article
- Geographic prioritisation in Kenya and Uganda: a power analysis of donor transition.BMJ global health · 2023Article
- Transitioning health workers from PEPFAR contracts to the Uganda government payroll.Health policy and planning · 2021Article
- The impact of loss of PEPFAR support on HIV services at health facilities in low-burden districts in Uganda.BMC health services research · 2021Article
- Quality of life of HIV-infected individuals: insights from a study of patients in Kermanshah, Iran.BMC infectious diseases · 2021Article
- Monitoring Pharmacy and Test Kit Stocks in Rural Mozambique: U.S. President's Emergency Plan for AIDS Relief Surveillance to Help Prevent Ministry of Health Shortages.AIDS research and human retroviruses · 2020Article
- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria.PloS one · 2019Article
- Impact of HIV on human papilloma virus-mediated cervical disease progression.AIDS (London, England) · 2018Article
- Promoting Local Ownership: Lessons Learned from Process of Transitioning Clinical Mentoring of HIV Care and Treatment in Ethiopia.Frontiers in public health · 2018Article
- The Vital Case for Global Health Investments by the US Government.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Article
- Accounting for variations in ART program sustainability outcomes in health facilities in Uganda: a comparative case study analysis.BMC health services research · 2016Article
- Transitioning to Country Ownership of HIV Programs in Rwanda.PLoS medicine · 2016Article
- Maternal and Neonatal and Child Health Priorities in Africa and Asia.BioMed research international · 2016Article
- Human Resources for Treating HIV/AIDS: Are the Preventive Effects of Antiretroviral Treatment a Game Changer?PloS one · 2016Article
- Health Management Mentoring for Health Systems Strengthening: A Response to Recent Commentaries.International journal of health policy and management · 2015Article
- PEPFAR Transitions to Country Ownership: Review of Past Donor Transitions and Application of Lessons Learned to the Eastern Caribbean.Global health, science and practice · 2015Article
- Southern Africa: the Highest Priority Region for HIV Prevention and Care Interventions.Current HIV/AIDS reports · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Global AIDS programs such as the US President's Emergency Plan for AIDS Relief (PEPFAR) face a challenging health care management transition. HIV care must evolve from vertically-organized, externally-supported efforts to sustainable, locally controlled components that are integrated into the horizontal primary health care systems of host nations. We compared four southern African nations in AIDS care, financial, literacy, and health worker capacity parameters (2005 to 2009) to contrast in their capacities to absorb the huge HIV care and prevention endeavors that are now managed with international technical and fiscal support. Botswana has a relatively high national income, a small population, and an advanced HIV/AIDS care program; it is well poised to take on management of its HIV/AIDS programs. South Africa has had a slower start, given HIV denialism philosophies of the previous government leadership. Nonetheless, South Africa has the national income, health care management, and health worker capacity to succeed in fully local management. The sheer magnitude of the burden is daunting, however, and South Africa will need continuing fiscal assistance. In contrast, Zambia and Mozambique have comparatively lower per capita incomes, many fewer health care workers per capita, and lower national literacy rates. It is improbable that fully independent management of their HIV programs is feasible on the timetable being contemplated by donors, nor is locally sustainable financing conceivable at present. A tailored nation-by-nation approach is needed for the transition to full local capacitation; donor nation policymakers must ensure that global resources and technical support are not removed prematurely.
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Registered trials
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