HIV Donor Funding Has Both Boosted And Curbed The Delivery Of Different Non-HIV Health Services In Sub-Saharan Africa
HIV Donor Funding Has Both Boosted And Curbed The Delivery Of Different Non-HIV Health Services In Sub-Saharan Africa
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DOI：
10.1377/hlthaff.2012.0279
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发表时间：
2012-07-01
期刊：
影响因子：
9.7
通讯作者：
Grepin, Karen A.
中科院分区：
文献类型：
--
作者：
Grepin, Karen A.
在过去十年里，捐赠者为艾滋病毒项目提供的资金迅速增加，这引发了人们的疑问，即受援国卫生系统的其他卫生服务是否正在被排挤或加强。这篇文章--关于2003-10年期间艾滋病毒捐助者资金增加对撒哈拉以南非洲非艾滋病毒卫生服务的影响的调查--提供了这两种影响的证据。一些国家的艾滋病毒援助排挤了儿童免疫接种的提供，特别是在卫生保健提供者密度最低的国家。与此同时，艾滋病毒援助可能对一些孕产妇保健服务产生了积极影响，例如产前血液检测。这些喜忧参半的结果表明，捐助者应更加注意国内资源的限制，如卫生工作者人数有限；应更充分地与现有卫生系统结合；应首先解决这些制约因素，以限制对提供其他卫生服务可能产生的负面影响。
Donor funding for HIV programs has increased rapidly over the past decade, raising questions about whether other health services in recipient-country health systems are being crowded out or strengthened. This article-an investigation of the impacts of increased HIV donor funding on non-HIV health services in sub-Saharan Africa during 2003-10-provides evidence of both effects. HIV aid in some countries has crowded out the delivery of childhood immunizations, especially in countries with the lowest density of health care providers. At the same time, HIV aid may have positively affected some maternal health services, such as prenatal blood testing. These mixed results suggest that donors should be more attentive to domestic resource constraints, such as limited numbers of health workers; should integrate more fully with existing health systems; and should address these constraints up front to limit possible negative effects on the delivery of other health services.