Evidence map›Paper›PMID 34273988›Full record

ArticleGlobalization and health2021

Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda.

Mary Qiu, Ligia Paina, Daniela C Rodríguez, Jess A Wilhelm, Ezinne Eze-Ajoku, Alexandra Searle, Henry Zakumumpa, Freddie Ssengooba, Caroline MacKenzie, Sara Bennett

Abstract read
In one paragraph

Article in Globalization and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 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

10 authors.

Mary QiuDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. maryqiu02@gmail.com.ORCID 0000-0003-4814-4591
Ligia PainaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Daniela C RodríguezDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jess A WilhelmDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ezinne Eze-AjokuDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Alexandra SearleDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Henry ZakumumpaMakerere University School of Public Health, Kampala, Uganda.
Freddie SsengoobaMakerere University School of Public Health, Kampala, Uganda.
Caroline MacKenzieIpsos Kenya, Nairobi, Kenya.
Sara BennettDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn 2015, the President's Emergency Plan for AIDS Relief undertook policy shifts to increase efficiencies in its programming, including transitioning HIV/AIDS funding away from low burden areas. We examine the impact of these changes on HIV outreach in Kenya and Uganda.

methodsQualitative data collection was conducted as a part of a broader mixed-methods evaluation. Two rounds of facility-level case studies and national-level interviews were conducted in Kenya and Uganda, with health facility, sub-national and central Ministry of Health staff, HIV clients, and implementing partners.

resultsIn both countries, the loss of outreach support affected community-based HIV/AIDS education, testing, peer support, and defaulter tracing. DISCUSSION: Loss of external support for outreach raises concerns for countries' ability to reach the 90-90-90 UNAIDS target, as key linkages between vulnerable communities and health systems can be adversely affected.

conclusionDevelopment partners should consider how to mitigate potential consequences of transition policies to prevent negative effects at the community level.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsGovernment ProgramsHumansKenyaUgandaCommunity outreachDonor transitionHealth systemsHIV/AIDSKenyaPEPFARUganda

Identifiers

PMID34273988
PMCPMC8285775

What OpenQuestion holds

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Registered trials

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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.