HIV Treatment & Prevention
Evaluation of PEPFAR's effects on Health Systems Strengthening in Sub Saharan Africa
Dear all,
Please find attached the above article entitled “An Evaluation of the President’s Emergency plan for AIDS Relief Effect on the Health systems strengthening in Sub-Saharan Africa”.
The study evaluates impact on proximal and distant indicators and how PEPFAR has these indicators. The study looks at the pre-PEPFAR period (1995-2002) and during PEPFAR (2004-2010) and compares PEPFAR focus countries with non focus countries during these 2 time periods. The following outcome indicators were measured:
1.TB incidence prevalence and mortality
2.IMR (infant mortality rate)
2.U5MR (under 5 mortality rate)
Findings:
1.PEPFAR activities showed improvement in over HSS with improvements in both proximal and distal indicators.
2.TB: improvement in focus countries after PEPFAR more pronounced than in control countries
3.Case detection of TB higher in focus countries
4. Vaccination: focus countries showed significantly larger increase in vaccination rate after PEPFAR
5. IMR and U5MR: rates of decrease was greater pre-PEPFAR in focus countries and gap widened after PEPFAR- greater acceleration in # of infant and child deaths averted due to PEPFAR
Conclusions:
1. Effect on IMR and U5MR not significant
2. Strong and consistent association between PEPFAR and improvements in TB indicators – PEPFAR activities had a strong impact on TB control.
3. No evidence that PEPFAR diverted resources from other public health activities but instead had a beneficial effect on overall health systems.
Attached resource:
Byaruhanga B Emmanuel
Great Document Marks.
I am Emmanuel, and I live among the populations of the focus countries
where PEPFAR has been operational over the years. I wonder whether there
would be a means of evaluating the fact that PEPFAR programs come along
with funds which directly or indirectly have got a positive impact on the
socioeconomic wellbeing of the populations in question.
Trying to be practical here, the funds are a source of employment, better
standards of living, improved educational standards, all of whom will
definitely positively impact on the results as discussed in this document.
Question???
Can we attribute all the positive changes in this meeting to drug treatment
entirely? or can we have similar results with boosting
socio-economic-political independence in this region?
5:55 AM, 19 Mar 2013 | Permalink
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