Integrating HIV clinical services into primary health care in Rwanda: a measure of quantitative effects

Price, Jessica; Leslie, Jennifer; Welsh, Michael J.; Binagwaho, Agnès

doi:10.1080/09540120802310957

Cited by 75 publications

(64 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study, together with other work, suggests that the experience gained in providing HIVcare can and should inform efforts to strengthen national health systems as well as global health assistance strategies of the United States and other funders. [13][14][15][16]18,19 To this end, we suggest several policy directions.…”

Section: Discussionmentioning

confidence: 99%

“…11,17,18 Investments in laboratory services, including rebuilding and equipping laboratories and training laboratory staff, may have cross-service benefits. 25,26 Our previous research suggests that patients are strongly influenced by the perceived quality of facility equipment.…”

Section: Discussionmentioning

confidence: 99%

“…Jessica Price and coauthors found significant increases in the provision of reproductive health services after the introduction of HIV care in thirty primary health centers in Rwanda. 18 Similarly, Tetsuya Matsubayashi and coauthors found increases in pediatric immunization in six urban clinics in Uganda after the introduction of HIV programs. 19 However, these and other studies of interactions between HIV programs and broader health systems were small and lacked comparison groups, making it difficult to attribute the effects they found to the HIV programs.…”

mentioning

confidence: 99%

See 2 more Smart Citations

PEPFAR Programs Linked To More Deliveries In Health Facilities By African Women Who Are Not Infected with HIV

Kruk

Jakubowski

Rabkin³

et al. 2012

Health Affairs

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

PEPFAR Programs Linked To More Deliveries In Health Facilities By African Women Who Are Not Infected with HIV

Kruk

Jakubowski

Rabkin³

et al. 2012

Health Affairs

View full text Add to dashboard Cite

“…Another study in Rwanda finds that integrating basic HIV services into PHC clinics did not result in declines in other services (Price et al 2009). Instead, some other services saw improvements, especially reproductive health.…”

Section: General and Primary Healthcarementioning

confidence: 99%

Integrating HIV services with other health services to improve care, retention and adherence

Heard¹,

Peterson²,

Modi³

et al. 2017

View full text Add to dashboard Cite

The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding and producing high-quality evidence of what works, how, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives.3ie Scoping papers 3ie thematic window grant programmes typically start with a consultative process that includes a scoping study to identify the current state of impact evaluation evidence in a particular sector. Scoping studies identify the promising questions for future research synthesis and the priority questions for further impact evaluation research. They analyse the existing supply of impact evaluation and systematic review evidence, as well as the demand for such evidence from policymakers and programme managers. About this scoping paper3ie completed this scoping exercise in 2015. It helped to define the approaches to funding pilot interventions and their impact evaluations through a grant window on the integration of HIV services with other health services. This scoping paper identifies the current evidence base and evidence needs the HIV and AIDS care community. The paper looks at what types of service integration interventions have been evaluated and the types of outcomes that have been measured and reported. It includes information about how this work compares with perceptions of where there is good evidence, and evidence gaps identified by key stakeholders.All of the content in this paper is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its Board of Commissioners. Any errors and omissions are also the sole responsibility of the authors. All author affiliations were correct when the paper was submitted for publication in 2016. Funding for this scoping report was provided by the Bill & Melinda Gates Foundation. For further information about this paper, please contact Anna Heard at aheard@3ieimpact.org. AcknowledgementsThe authors would like to acknowledge the helpful contributions of the members of two task forces, and assistance from Nancy Diaz in coordinating the production of inputs into the report. Kara Ingraham also provided valuable assistance in editing.ii SummaryAlthough HIV testing, care and treatment coverage have been improving in Sub-Saharan Africa (UNAIDS) 2012), significant numbers of HIV-positive individuals still drop out of HIV care at various stages along the care continuum. One approach to improving HIV and AIDS services along this continuum is to integrate them with other health services. Providers are beginning to use this approach, but often without testing whether their innovations are truly effective, particularly with regard to improving the outcomes for HIV in terms of linkage to care, as well as retention and adherence.In anticipation of our grant window to fund impact evaluations of interventions integrating HIV services, we conducted a lit...

show abstract

“…It is not out of context to then ask if door funding has strengthened the health care system of recipient countries. Contrary to this view, advocates of donor funding believe that these funding such as that in Rwanda has improved the infrastructure, management, communications, laboratories, information systems, and human resources as well as contributed to standardization of services, strengthened monitoring and surveillance systems of health systems [33][34][35]. However, while these proponents of donor funds make grand claims about its achievements and potential in Rwanda, an overview of the literature reveals that this evidence is little to support these claims if other contextual issues-such as those of vertical funding, social and political factors-within the different countries in the region are taken into cognizance.…”

Section: Utilization and Impactmentioning

confidence: 99%

Donor Support and the Impacts on Health System Strengthening in Sub-Saharan Africa: Assessing the Evidence through a Review of the Literature

Ejughemre¹

2013

AJPHR

View full text Add to dashboard Cite

The signing of the United Nations millennium development goals created a platform for the injection of billions of dollars of donor funds into countries with great need. As it were, this funding is meant to accelerate the achievement of these goals by the year 2015 considering that amongst others, they will help in improving healthcare delivery and strengthen health systems. Of particular concern is the situation in sub-Saharan Africa. So far, the impact of donor support in the region has being fairly remarkable with funding to combat major health problems reaching unprecedented levels in recent times with improvements on certain fronts. However, reports have it that besides other issues in many instances funds are allocated only to disease specific projects ("vertical programming") rather than to broad based investments ("horizontal programming"). Furthermore, the problem of corruption and mismanagement of these funds in many of the recipient countries are bothering issues warranting urgent solutions. As these issues do come to bear, it is critical to state that donor support is only a part of the development picture. There is now the need for sustainable policies for gradually exiting from donor funding for health, without which these countries dependant on humanitarian actors, will continue to cripple their ability to be self-sufficient and self reliant, and should these agencies cease to continue or run out of funding the consequences for the region are dire.

show abstract

Integrating HIV clinical services into primary health care in Rwanda: a measure of quantitative effects

Abstract: Our results partially counter fears that HIV programs are producing adverse effects in non-HIV service delivery. Rather than leading to declines in other primary health care delivery, our findings suggest that the integration of HIV clinical services may contribute to increases.

Cited by 75 publications

References 14 publications

PEPFAR Programs Linked To More Deliveries In Health Facilities By African Women Who Are Not Infected with HIV

PEPFAR Programs Linked To More Deliveries In Health Facilities By African Women Who Are Not Infected with HIV

Integrating HIV services with other health services to improve care, retention and adherence

Donor Support and the Impacts on Health System Strengthening in Sub-Saharan Africa: Assessing the Evidence through a Review of the Literature

Contact Info

Product

Resources

About