The Cost of Providing Comprehensive HIV Services to Key Populations: An Analysis of the LINKAGES Program in Kenya and Malawi

Opuni, Marjorie; Figueroa, Jose Luis; Sanchez-Morales, Jorge Eduardo; Salas-Ortiz, Andrea; Ochoa-Sánchez, Luz Edith; Morales-Vazquez, Mariana; Banda, Louis Masankha; Olawo, Alice; Munthali, Spy; Korir, Julius; DiCarlo, Meghan; Persaud, Navindra; Bautista‐Arredondo, Sergio

doi:10.9745/ghsp-d-22-00538

Cited by 1 publication

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“…This study on management characteristics was part of a broader scope of work, which began with a costing study of the LINKAGES program conducted in Kenya and Malawi for US Government FY 2018 and 2019 (1 October to 30 September). The collection of data on management practices was motivated by the results of the costing study, which suggested that differences in management practices across DICs might explain some unexplained variation in program costs [ 38 , 39 ]. The management survey was applied from 1 November 2021 to 31 January 2022 using the Survey Monkey platform.…”

Section: Methodsmentioning

confidence: 99%

Management practices in facilities providing HIV services to key populations in Kenya and Malawi: A descriptive analysis of management in community-based organizations

Salas-Ortiz,

Opuni,

Rodríguez-Atristain

et al. 2024

PLOS Glob Public Health

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HIV services for key populations (KP) at higher risk of HIV infection are often delivered by community-based organizations. To achieve HIV epidemic control, countries need to scale up HIV services for KP. Little is known about the management practices of community-based organizations delivering health services. We explored the management practices and facility characteristics of community-based health facilities providing HIV services to key populations as part of the LINKAGES program in Kenya and Malawi. We collected information on management practices from 45 facilities called drop-in centers (DICs) during US Government FY 2019, adapting the World Management Survey to the HIV community-based health service delivery context. We constructed management domain scores for each facility. We then analyzed the statistical correlations between management domains (performance monitoring, people management, financial management, and community engagement) and facility characteristics (e.g., number of staff, organization maturity, service scale) using ordinary least square models. The lowest mean management domain scores were found for people management in Kenya (38.3) and financial management in Malawi (25.7). The highest mean scores in both countries were for performance monitoring (80.9 in Kenya and 82.2 in Malawi). Within each management domain, there was significant variation across DICs, with the widest ranges in scores (0 to 100) observed for financial management and community involvement. The DIC characteristics we considered explained only a small proportion of the variation in management domain scores across DICs. Community-based health facilities providing HIV services to KP can achieve high levels of management in a context where they receive adequate levels of above-facility support and oversight—even if they deliver complex services, rely heavily on temporary workers and community volunteers, and face significant financial constraints. The variation in scores suggests that some facilities may require more above-facility support and oversight than others.

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Section: Methodsmentioning

confidence: 99%

Management practices in facilities providing HIV services to key populations in Kenya and Malawi: A descriptive analysis of management in community-based organizations

Salas-Ortiz,

Opuni,

Rodríguez-Atristain

et al. 2024

PLOS Glob Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

The Cost of Providing Comprehensive HIV Services to Key Populations: An Analysis of the LINKAGES Program in Kenya and Malawi

Abstract: A cost analysis of comprehensive HIV services for key populations at higher risk of infection in Kenya and Malawi showed that costs can be substantial at all program implementation levels, not just service delivery; all these costs should be considered during program planning.

Cited by 1 publication

References 29 publications

Management practices in facilities providing HIV services to key populations in Kenya and Malawi: A descriptive analysis of management in community-based organizations

Management practices in facilities providing HIV services to key populations in Kenya and Malawi: A descriptive analysis of management in community-based organizations

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