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PEPFAR Programs Linked To More Deliveries In Health Facilities By African Women Who Are Not Infected with HIV
- Source :
- Health Affairs. 31:1478-1488
- Publication Year :
- 2012
- Publisher :
- Health Affairs (Project Hope), 2012.
-
Abstract
- HIV programs in lower-income countries have provided lifesaving care and treatment to millions of people, but their expansion has raised concerns that these programs may have diverted health workers, management attention, and infrastructure investments from other health priorities, such as high maternal mortality in sub-Saharan Africa. We assessed the effect of HIV programs supported by the President's Emergency Plan for AIDS Relief (PEPFAR) on maternal health services for women not infected with HIV in 257 health facilities in eight African countries in 2007-11. Controlling for other variables, we found that having more patients on antiretroviral treatment and HIV-related infrastructure investments, such as on-site laboratories at health clinics, were associated with more deliveries at health facilities by women not infected with HIV. This association is consistent with the hypothesis that PEPFAR-funded infrastructure may also support other health services and that the program may have laid the foundation for improving health system performance in maternal health overall. We recommend that lessons learned from the rapid expansion of HIV services in sub-Saharan Africa should be drawn on to increase the provision of maternal and newborn health care and other high-priority health services, such as the treatment of diabetes, hypertension, and other chronic, noncommunicable diseases.
- Subjects :
- medicine.medical_specialty
Anti-HIV Agents
International Cooperation
Human immunodeficiency virus (HIV)
Developing country
HIV Infections
medicine.disease_cause
Health services
Acquired immunodeficiency syndrome (AIDS)
Pregnancy
Environmental health
Humans
Medicine
Childbirth
Maternal Health Services
Maternal health
Africa South of the Sahara
Health policy
business.industry
Health Policy
Public health
Delivery, Obstetric
medicine.disease
United States
Female
Health Facilities
business
Subjects
Details
- ISSN :
- 15445208 and 02782715
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Health Affairs
- Accession number :
- edsair.doi.dedup.....78e2b9fdc7da3144703b1b4f0ef61fb5