logging in or signing up Health AIDS WAD Eagle Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 96 Category: News & Reports.. License: All Rights Reserved Like it (0) Dislike it (0) Added: September 03, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Health Systems and AIDS: Health Systems and AIDS Keith Hansen LCSHH November 30, 2005 Sector support for AIDS: Sector support for AIDS Advocacy and awareness-raising Surveillance Basic RH and HIV-specific counseling Testing Diagnosis Treatment: AOIs, HIV, PMTCT Protecting health workers System constraints: System constraints Multiple HR shortages: 31 African countries have andlt;1 MD/10,000 22 African countries have andlt;1 RN/2,000 Poor incentives/high brain drain Ghost workers sometimes andgt;25% of payroll Weak surveillance and M andamp; E Low coverage of core services (e.g. RH) Poor supply chain management Sector constraints: Sector constraints Limited access to clients (esp. men) Very limited access to high-risk groups Limited impact on social norms Adverse political economy: Programs disfavor stigmatized diseases Funding favors wrong skill mix Guild approach and focus on credentials AIDS-aggravated constraints: AIDS-aggravated constraints Growing pressure on health andamp; demand AIDS-opportunistic infections 5% prevalence = 26% jump in demand Slide6: Regional TB incidences Slide7: DOTS impact in Africa AIDS-aggravated constraints: AIDS-aggravated constraints Growing pressure on health andamp; demand AIDS-opportunistic infections 5% prevalence = 26% jump in demand HR issues Occupational risk of exposure Effect on morale and nature of work Poaching by donor-funded NGOs, etc. AIDS-aggravated constraints: AIDS-aggravated constraints Growing pressure on health andamp; demand AIDS-opportunistic infections 5% prevalence = 26% jump in demand HR issues Occupational risk of exposure Effect on morale and nature of work Poaching by donor-funded NGOs, etc. Dominance of external aid Volatile, uncoordinated, uncontrolled Slide10: Opportunities to strengthen: Opportunities to strengthen Capitalize on the 'opportunity' of AIDS Primum non nocere Respect country systems and stewardship Create 'fiscal space' Take long-term system view Improve surveillance and Mandamp;E Address HR issues at all levels, incl. global Incentives, accountability, demand Expand HIV treatment: Expand HIV treatment Savings in averted AOI care Reduce pressure on health system Good for health staff: Boost life expectancy Reduce absenteeism Boost morale and sense of effectiveness Reduce stigma Avert larger second-line costs Slide13: SÃO PAULO mortality, 1985 - 2003 0,0 5,0 10,0 15,0 20,0 25,0 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year of ocurrence MR (p/ 100,000 inhab) Source: Seade You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Health AIDS WAD Eagle Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 96 Category: News & Reports.. License: All Rights Reserved Like it (0) Dislike it (0) Added: September 03, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Health Systems and AIDS: Health Systems and AIDS Keith Hansen LCSHH November 30, 2005 Sector support for AIDS: Sector support for AIDS Advocacy and awareness-raising Surveillance Basic RH and HIV-specific counseling Testing Diagnosis Treatment: AOIs, HIV, PMTCT Protecting health workers System constraints: System constraints Multiple HR shortages: 31 African countries have andlt;1 MD/10,000 22 African countries have andlt;1 RN/2,000 Poor incentives/high brain drain Ghost workers sometimes andgt;25% of payroll Weak surveillance and M andamp; E Low coverage of core services (e.g. RH) Poor supply chain management Sector constraints: Sector constraints Limited access to clients (esp. men) Very limited access to high-risk groups Limited impact on social norms Adverse political economy: Programs disfavor stigmatized diseases Funding favors wrong skill mix Guild approach and focus on credentials AIDS-aggravated constraints: AIDS-aggravated constraints Growing pressure on health andamp; demand AIDS-opportunistic infections 5% prevalence = 26% jump in demand Slide6: Regional TB incidences Slide7: DOTS impact in Africa AIDS-aggravated constraints: AIDS-aggravated constraints Growing pressure on health andamp; demand AIDS-opportunistic infections 5% prevalence = 26% jump in demand HR issues Occupational risk of exposure Effect on morale and nature of work Poaching by donor-funded NGOs, etc. AIDS-aggravated constraints: AIDS-aggravated constraints Growing pressure on health andamp; demand AIDS-opportunistic infections 5% prevalence = 26% jump in demand HR issues Occupational risk of exposure Effect on morale and nature of work Poaching by donor-funded NGOs, etc. Dominance of external aid Volatile, uncoordinated, uncontrolled Slide10: Opportunities to strengthen: Opportunities to strengthen Capitalize on the 'opportunity' of AIDS Primum non nocere Respect country systems and stewardship Create 'fiscal space' Take long-term system view Improve surveillance and Mandamp;E Address HR issues at all levels, incl. global Incentives, accountability, demand Expand HIV treatment: Expand HIV treatment Savings in averted AOI care Reduce pressure on health system Good for health staff: Boost life expectancy Reduce absenteeism Boost morale and sense of effectiveness Reduce stigma Avert larger second-line costs Slide13: SÃO PAULO mortality, 1985 - 2003 0,0 5,0 10,0 15,0 20,0 25,0 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year of ocurrence MR (p/ 100,000 inhab) Source: Seade