Sustainability of ARV provision in developing countries: challenging a framework based on program history
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2017
- handle: 10670/1.09t7p7
- 1413-8123
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Ciência & Saúde Coletiva
Mots-clés
Salud HIV Aids HAART Program sustainabilitySujets proches
Sustainability scienceCiter ce document
Thiago Botelho Azeredo et al., « Sustainability of ARV provision in developing countries: challenging a framework based on program history », Ciência & Saúde Coletiva, ID : 10670/1.09t7p7
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Résumé
"The provision of ARVs is central to HIV/ AIDS programs, because of its impact on the course of the disease and on quality of life. Although first-line treatments costs have declined, treat - ment-associated expenses are steeper each year. Sustainability is therefore an important variable for the success of treatment programs. A conceptu - al framework on sustainability of ARV provision was developed, followed by data collection instru - ments. The pilot study was undertaken in Brazil. Bolivia, Peru and Mozambique, were visited. Key informants were identified and interviewed. Inves - tigation of sustainability related to ARV provision involved implementation and routinization events of provision schemes. Evidence of greater sustain - ability potential was observed in Peru, where pro - vision is implemented and routinized by the Na - tional HIV/AIDS program and expenditures met by the government. In Mozambique, provision is dependent on donations and external aid, but the country displays a great effort to incorporate ARV provision and care in routine healthcare activities. Bolivia, in addition to external dependence on fi - nancing and management of drug supply, presents problems regarding implementation and routin - ization. The conceptual framework was useful in recognizing events that influence sustainable ARV provision in these countries."