Has HIV/AIDS displaced other health funding priorities? Evidence from a new dataset of development aid for health

Lordan, Grace; Tang, Kam Ki; Carmignani, Fabrizio

doi:10.1016/j.socscimed.2011.05.045

Cited by 29 publications

(26 citation statements)

References 17 publications

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“…The extent to which the epidemic's evolution influenced rates of contraceptive use, both through health service delivery and sexual risk patterns, has been debated (e.g., Shiffman 2008;Wilcher, Cates, and Gregson 2009). The disproportionate volume of resources allocated to HIV treatment and care, compared to contraceptive access and delivery and other primary care services, suggests distortion of health systems performance in HIV-prevalent settings and in SSA overall (Grépin 2012;Lordan, Tang, and Carmignani 2011;Biesma et al 2009). While study findings have been mixed (e.g., Afnan-Holmes et al 2015;Kruk et al 2012;Mwapasa and Kadzandira 2009), there is growing consensus that the rising tide of HIV funding has benefited all health sectors.…”

Section: Competing Health Concerns: Hiv/aids and Other Diseasesmentioning

confidence: 99%

Contraceptive Practice in sub‐Saharan Africa

Tsui¹,

Brown²,

Li³

2017

Population & Development Rev

189

173

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Forty eight of the African continent’s 54 sovereign states are located in the Sub-Saharan Africa (SSA) region, with the government of each defining and shaping its own health services and delivery systems. This paper reviews the trends and patterns of contraceptive practice in the region. Using survey data available from the Demographic and Health Surveys and Performance Monitoring and Accountability 2020, the study finds modern contraceptive practice to be on the rise overall but with much geographic variation. The contraceptive methods most frequently used are injectables and, more recently, implants. Higher levels of use are observed among unmarried sexually active than married females. Although use is rising, contraceptive discontinuation rates are also high. Recent program initiatives discussed include expanding long-acting contraceptive options, promoting and delivering contraceptive methods in the postpartum period, and relying on community health workers for contraceptive outreach and service delivery. SSA’s family planning situation remains challenged by weak health systems which must address competing priorities to manage disease prevention as well as primary health care. Increasing investments in family planning delivery in many SSA countries, however, augur for continued rapid uptake of modern contraception, possibly matching if not outpacing the record of other regions.

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Section: Competing Health Concerns: Hiv/aids and Other Diseasesmentioning

confidence: 99%

Contraceptive Practice in sub‐Saharan Africa

Tsui¹,

Brown²,

Li³

2017

Population & Development Rev

189

173

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“…[24][25][26][27] Of particular importance, DAH for maternal, newborn, and child health has increased tremendously during the past five years.…”

Section: Exhibitmentioning

confidence: 99%

Global Health Development Assistance Remained Steady In 2013 But Did Not Align With Recipients’ Disease Burden

Dieleman

Graves²,

Templin³

et al. 2014

Health Affairs

130

101

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Tracking development assistance for health for low-and middle-income countries gives policy makers information about spending patterns and potential improvements in resource allocation. We tracked the flows of development assistance and explored the relationship between national income, disease burden, and assistance. We estimated that development assistance for health reached US$31.3 billion in 2013. Increased assistance from the Global Fund to Fight AIDS, Tuberculosis, and Malaria; the GAVI Alliance; and bilateral agencies in the United Kingdom helped raise funding to the highest level to date. The largest portion of health assistance targeted HIV/AIDS (25 percent); 20 percent targeted maternal, newborn, and child health. Disease burden and economic development were significantly associated with development assistance for health, but many countries received considerably more or less aid than these indicators predicted. Five countries received more than five times their expected amount of health aid, and seven others received less than one-fifth their expected funding. The lack of alignment between disease burden, income, and funding reveals the potential for improvement in resource allocation.

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“…Several countries have actually diverted their own health investments to tackle other non-health issues when a generous flow of funds for HIV/AIDS and tuberculosis presents a perverse disincentive to properly invest in their citizens’ health needs. 15–17 …”

Section: Global Health Programsmentioning

confidence: 99%