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Evidence-based implementation efficiency analysis of the HIV/AIDS national response in Colombia (Inglês)

This study on the implementation efficiency of the HIV/AIDS national response in Colombia seeks to examine how it has been implemented -- whether it has been done according to the available evidence about the epidemic and as the response was originally planned. The study approaches three specific dimensions of implementation efficiency: (i) programmatic; (ii) budgetary; and (iii) service delivery. The study uses a range of research techniques, including: (i) documentary analysis of key policies, official publications and reports; (ii) semi-structured interviews with representatives of the central government and territorial entities, international and community-based organizations, insurers, care providers, etc.; and (iii) case-study analysis to visualize the ways in which people are cared for in practice. The available data suggest that the HIV/AIDS response is succeeding in keeping the prevalence low and the epidemic concentrated. In recent years, the level of health coverage has increased and the quality of care services has improved. The identified problems in service delivery (mostly related to coverage and access) are linked to system fragmentation and integration, and to the nature of the coordination mechanisms, both at the national and the territorial level. The effectiveness of the response would benefit from re-energized leadership at both the national and local levels -- articulated through the existing programmatic framework and coordinating mechanisms. The complexity of the system and the lack of budgetary and expenditure information have impeded the evaluation of the budgetary efficiency of the HIV/AIDS response.

Detalhes

  • Autor

    Alvarez-Rosete. Arturo, Concardo, Pedro Magne, Gaillard, Michel Eric, Montenegro Torres,Fernando, Moreno, Antonio, Moreno, Luis Angel, Nunez, Ricardo Luque, Rodriguez-Garcia,Rosalia, Suarez Lissi De Bortman,Maria Alejandra, del Carmen Moreno Chavez, Teresa

  • Data do documento

    2012/08/01

  • TIpo de documento

    Documento de trabalho sobre pesquisa de políticas

  • No. do relatório

    WPS6182

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Colômbia,

  • Região

    América Latina e Caribe,

  • Data de divulgação

    2012/08/01

  • Disclosure Status

    Disclosed

  • Nome do documento

    Evidence-based implementation efficiency analysis of the HIV/AIDS national response in Colombia

  • Palavras-chave

    Epidemic;men who have sex with men;access to health care service;hiv prevalence;HIV and AIDS;Information, Education and Communication;life expectancy at birth;lack of condom use;health insurance system;people with hiv;vulnerable group;purchase of service;system Financial;quality of care;primary care;public health;prevalence hiv;continuity of care;social insurance system;basket of services;treatment services;antiretroviral treatment;local public health;general health system;lack of knowledge;availability of drug;quality of data;multiple sexual partners;provision of good;health care centers;Health System Strengthening;national health system;adult literacy rate;access to care;flow of fund;primary care center;vulnerable population group;social security system;sense of ownership;social support services;sources of fund;countries in transition;Human Immunodeficiency Virus;national aids program;flow of money;per capita income;public health service;pregnant woman;information flow;Population Services;budgetary efficiency;financial sustainability;health systems;local entities;

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