350 research outputs found
Investing in public health-driving prosperity for the present and future generations
Countries across Europe and the World are faced with growing health, inequity, social security, economic and environmental challenges. We need urgent, innovative and priority-focused investment to ensure sustainable development for the present and future generations. Doing business as usual is unsustainable with high costs for individuals, families, communities, society, the economy and the planet. Governments can have a major impact on all factors influencing health and wellbeing, on the way people live and on their everyday choices. The interconnected nature of current challenges and possible solutions needs strong leadership, strategic and political commitment, and coherent action. It also requires new approaches and financing mechanisms building on cross-sector collaboration and citizen involvement in decision-making, i.e. participatory governance for health
Towards domestic financing of national HIV responses lessons learnt from Serbia
This report highlights the efforts of Serbia to continue
funding and implementation of the national HIV
response which had been significantly supported
by the GF from 2003 to 2014 and resulted in an
intensified communication and consultation between
governmental and NGO sector. Serbia has a long
tradition in national HIV programming. There is
clear evidence that the most effective programmes
are those in which civil society's role, engagement in
providing prevention, care and support services for key
populations and PLHIV and established partnership
with other relevant stakeholders are strongest and
equitable. Moreover, interventions should be supported
by enabling legal and policy frameworks. This includes
measures to increase availability and access to different
services and to minimize law enforcement and other
structural barriers. Constant advocacy work with
relevant stakeholders and standardization of services is
also recognized as very important.sch_iihpub4571pu
Closing the prevention of mother-to-child transmission gap in Nigeria: an evaluation of service improvement intervention in Nigeria
Objectives: The objective was to assess improvement, or lack thereof, in the uptake of prevention of mother-to-child transmission (MTCT) services at selected sites supported sites by the Global HIV/AIDS Initiative Nigeria (GHAIN). Design: The study used aggregated monthly service statistics to evaluate service improvement efforts that were conducted before and after these were undertaken between July 2007-June 2008. Settings and subjects: The service improvement efforts took place in 60 public healthcare facilities. Outcome measures: The study measured changes in the number of pregnant women who attended antenatal clinics for the first time, the number of pregnant women tested for human immunodeficiency virus (HIV), the number of HIV-positive women receiving antiretroviral (ARV) prophylaxis, and the service ratio, an indicator of the relative uptake of ARV prophylaxis. An estimate of MTCT events that were averted through ARV prophylaxis taken by the pregnant women was also calculated. Results: One hundred and twenty thousand, five hundred and thirty-seven women attended an antenatal clinic (ANC) for the first time. There was an average of 167.4 monthly attendances per facility. ANC attendance increased per facility by 11.1 women monthly post-intervention (p-value < 0.01). The uptake of HIV testing was 87%, with a monthly average increase of 17.8 women tested per facility (p-value < 0.01). ARV prophylaxis uptake rose from 3.3-5.4 women per facility per month (p-value < 0.01). The service ratio per facility improved from 5.3 women receiving ARVs to 6.5 for every 10 women who tested positive for HIV (p-value < 0.01). Applying risk reduction estimates of different ARVÂ regimens, it was estimated that between 88-169 MTCT events were averted pre-intervention, and 143-276 events, post-intervention. Conclusion: Service improvement intervention improved the utilisation of PMTCT services. It should be a key intervention that is used to close the PMTCT gap in Nigeria.Keywords: HIV, PMTCT, evaluation, Nigeria, service improvement, effectivenes
Modelling optimized investment approach for Uzbekistan
Istanbulsch_iihpub4594pu
Modelling an optimized investment approach for Tajikistan
Istanbulsch_iihpub4576pu
NGO social contracting fact sheet Serbia
HIV epidemiology in brief
Serbia has a concentrated HIV epidemic, with 1,956
people living with HIV officially registered (65% of
the estimated number) and 1,300 of them receiving
antiretroviral therapy (coverage 43% of the estimated
and 66% of the registered number of people living with
HIV). In 2014, more than 60% of new HIV infections
were diagnosed among men who have sex with men
(MSM) and 4% among people who inject drugs
(PWID).sch_iihpub4587pu
NGO social contracting fact sheet Tajikistan
HIV epidemiology in brief
Tajikistan has a concentrated HIV epidemic, with 5,242
people living with HIV officially registered (33% of
the estimated number), and 2,167 of them receiving
antiretroviral therapy (coverage 14% of the estimated
and 41% of the registered number of people living with
HIV) in 2014. Next to heterosexual transmission,
injecting drug use is the most common way of HIV
transmission.sch_iihpub4588pu
NGO social contracting fact sheet Ukraine
HIV epidemic in Ukraine in brief
Ukraine has a concentrated HIV epidemic, with
137,390 officially registered people living with HIV,
which is 62% of the estimated number of people
living with HIV in the country. In 2014, 66,409 people
living with HIV were receiving antiretroviral therapy
(coverage of 30% of the estimated number of people
living with HIV and 48% of the registered people
living with HIV).sch_iihpub4589pu
NGO social contracting fact sheet Belarus
HIV epidemiology in brief -
Belarus has a concentrated HIV epidemic, with
13,527 officially registered people living with HIV,
which is 50% of the estimated actual number of
people living with HIV in the country1.sch_iihpub4573pu
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