AIDS 2010 - Vienna 18-23 July 2010 - XVIII International AIDS Conference

Impact of HIV Programmes on Other Health Services and Population Health	MOAE01

Type:

Oral Abstract Session

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Location:

SR 5

Schedule:

11:00 - 12:30, 19.07.2010

Code:

MOAE01

Chairs:

Wafaa El-Sadr, United States
Alan Whiteside, South Africa

Presentations in this session:

11:00
MOAE0101
Abstract
Slides with audio Assessment of PEPFAR's impact on selected health system parameters in Sub-Saharan African countries
Presented by Anya Ting Shen, Canada
A.T. Shen^1,2, V. Lima¹, C. Heung³, A. Palmer¹, J. Montaner^1,4, R. Hogg^1,5, N. Ford⁶, E. Mills^1,7
¹BC Centre for Excellence in HIV/AIDS, Drug Treatment Program, Vancouver, Canada, ²University of Waterloo, Public Health Program, Waterloo, Canada, ³University of Waterloo, Waterloo, Canada, ⁴University of British Columbia, Vancouver, Canada, ⁵Simon Fraser University, School of Public Health, Burnaby, Canada, ⁶Médecins Sans Frontières / Doctors Without Borders, Vancouver, Canada, ⁷McMaster University, Clinical Epidemiology and Biostatistics, Hamilton, Canada

11:15
MOAE0102
Abstract
Slides with audio Is HIV funding strengthening the health system? A quasi-experimental study in Rwanda
Presented by Donald S Shepard, United States
D.S. Shepard¹, P. Amico¹, W. Zeng¹, A.K. Rwiyereka¹, C. Avila-Figueroa²
¹Brandeis University, Heller School, Waltham, United States, ²UNAIDS, Geneva, Switzerland

11:30
MOAE0103
Abstract
Slides with audio How HIV/AIDS scale-up has impacted on non- HIV priority services in Zambia
Presented by Joseph Simbaya, Zambia
J. Simbaya¹, A. Walsh², P. Ndubani¹, P. Dicker², R. Brugha^2,3, Global HIV/AIDS Initiatives Network (GHIN)
¹University of Zambia, Institute of Economic and Social Research, Lusaka, Zambia, ²Royal College of Surgeons in Ireland, Division of Population Health Sciences, Dublin, Ireland, ³London School of Hygiene and Tropical Medicine, London, United Kingdom

11:45
MOAE0104
Abstract
Slides with audio Impact of maternal HIV treatment on under-5 child mortality in rural, high HIV prevalence South Africa
Presented by James Ndirangu, South Africa
J. Ndirangu¹, R. Bland^1,2, M.-L. Newell^1,3
¹Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa, ²Division of Developmental Medicine, Glasgow University Medical Faculty, Glasgow, United Kingdom, ³Centre for Paediatric Epidemiology and Biostatistics, University College London Institute of Child Health, London, United Kingdom

12:00
MOAE0105
Abstract
Slides with audio The relationship between HIV and AIDS programmes and health system strengthening: findings from 6 African countries
Presented by Lucie Blok, Netherlands
L. Blok¹, T.E. de Jongh¹, G. Tiendrebeogo¹, D. Plummer¹, N. Poku², F. Jenniskens¹
¹Royal Tropical Institute, Development Policy & Practice, Amsterdam, Netherlands, ²University of Bradford, School of Social & International Studies, Bradford, United Kingdom

Rapporteur report

Track E report by Kedar MATE

The presentations in this session focused heavily on the impact of the scaled up HIV treatment programmes on access and quality of healthcare indicators. The presentation from Anya Shen described overall improvements to important outcomes in PEPFAR-focus countries versus control countries. Significant differences were in particular noted in important indicators including under-five childhood mortality and life expectancy. Presentations from facility-based studies in Rwanda and Zambia described the positive impact that increased access to HIV clinical services has had on non-HIV service delivery. Donald Shepard, however, did highlight that service delivery improvement may have been driven other factors including expansion of community based insurance schemes and performance-based financing in Rwanda. James Ndirangu from the Africa Centre in South Africa highlighted the close association between maternal ART and under-five childhood mortality describing a four-fold drop in risk of premature childhood death if eligible mothers were started on ART. Lucie Bloc described results of her qualitative research which confirmed that while investment in HIV control strengthened multiple aspects of health systems including human resources, infrastructure and community engagement, other aspects of the system including parallel supply chain systems threaten to undermine this progress. Overall, participants concluded that HIV has had a positive impact on other health indicators. Discussion focused on describing novel methods of collecting these impact data that would not overburden health facilities, assessing the impact of HIV service delivery on other chronic diseases, and designing a system from the start that intentionally produces spillover effects on other health indicators.