Evidence map›Paper›PMID 24802716›Full record

ArticleJournal of the International AIDS Society2014

Is endemic political corruption hampering provision of ART and PMTCT in developing countries?

Wing Young Nicola Man, Heather Worth, Angela Kelly, David P Wilson, Peter Siba

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Article in Journal of the International AIDS Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wing Young Nicola ManInternational HIV Research Group, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia; Faculty of Health Sciences, University of Sydney, Sydney, Australia.
Heather WorthInternational HIV Research Group, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia; h.worth@unsw.edu.au.
Angela KellyInternational HIV Research Group, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia; Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
David P WilsonKirby Institute, University of New South Wales, Sydney, Australia.
Peter SibaPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLeadership is a key factor in the success of HIV prevention and treatment. Positive HIV-related outcomes are also affected by funding levels for HIV, health sector resources, disease burden and the socio-economic environment. Leadership on HIV as well as these other factors are affected by the quality of political governance of the country, which may be an overarching factor that influences the making of effective responses to the HIV epidemic.

aimThe aim of the study was to investigate the association between quality of political governance, on one hand, and coverage of antiretroviral therapy (ART) and prevention of mother-to-child transmission (PMTCT), on the other, in low- to middle-income countries.

methodsThis investigation was carried out through a global review, online data sourcing and statistical analyses. We collected data on health burden and resources, the socio-economic environment, HIV prevalence, ART and PMTCT coverage and indicators of political governance. Outcome variables were coverage of ART (from 2004) and PMTCT (from 2007) to 2009 as a percentage of persons needing it. Potential predictors of treatment coverage were fitted with a baseline multilevel model for univariable and multivariable analyses.

resultsCountries with higher levels of political voice and accountability, more political stability and better control of corruption have higher levels of ART coverage but not PMTCT coverage. Control of corruption (in standard deviation units) had a strong association with ART (AOR=1.82, p=0.002) and PMTCT (AOR=1.97, p=0.01) coverage. Indicators of economic development were not significant when control of corruption was included in the multivariable regression model. Many countries in all income groups had high ART but not PMTCT coverage (e.g. Mexico, Brazil and Romania in the upper-middle-income group; Papua New Guinea and Philippines in the lower-middle-income group; and Cambodia, Laos and Comoros in the low-income group). Very few low-income countries (notably, Haiti and Kenya) had high PMTCT coverage.

conclusionsOur research found a significant relationship between quality of political governance and treatment coverage. Measures and policies for improving the quality of political governance should be considered as a part of HIV programme implementation to more effectively improve the welfare of people living with HIV, particularly mothers living with HIV and their babies.

Indexed as

CrimeDeveloping CountriesPoliticsAnti-HIV AgentsGovernmentHIV InfectionsHumansInfectious Disease Transmission, VerticalPrevalenceAnti-HIV Agentsantiretroviral therapycorruptiongovernanceleadershipprevention of mother-to-child transmission

Identifiers

PMID24802716
PMCPMC4009484

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.