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Journal article
Costing Human Rights and Community Support Interventions as a Part of Universal Access to HIV Treatment and Care in a Southern African Setting
Current HIV research, v 9(6), pp 416-428
01 Sep 2011
PMID: 21999777
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Expanding access to antiretroviral therapy (ART) has both individual health benefits and potential to decrease HIV incidence. Ensuring access to HIV services is a significant human rights issue and successful programmes require adequate human rights protections and community support. However, the cost of specific human rights and community support interventions for equitable, sustainable and non-discriminatory access to ART are not well described. Human rights and community support interventions were identified using the literature and through consultations with experts. Specific costs were then determined for these health sector interventions. Population and epidemic data were provided through the Statistics South Africa 2009 national mid-year estimates. Costs of scale up of HIV prevention and treatment were taken from recently published estimates. Interventions addressed access to services, minimising stigma and discrimination against people living with HIV, confidentiality, informed consent and counselling quality. Integrated HIV programme interventions included training for counsellors,
‘Know Your Rights’
information desks, outreach campaigns for most at risk populations, and adherence support. Complementary measures included post-service interviews, human rights abuse monitoring, transportation costs, legal assistance, and funding for human rights and community support organisations. Other essential non-health sector interventions were identified but not included in the costing framework. The annual costs for the human rights and community support interventions are United States (US) $63.8 million (US $1.22
per capita
), representing 1.5% of total health sector HIV programme costs. Respect for human rights and community engagement can be understood both as an obligation of expanded ART programmes and as a critically important factor in their success. Basic rights-based and community support interventions constitute only a small percentage of overall programmes costs. ART programs should consider measuring the cost and impact of human rights and community support interventions as key aspects of successful programme expansion.
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Details
- Title
- Costing Human Rights and Community Support Interventions as a Part of Universal Access to HIV Treatment and Care in a Southern African Setting
- Creators
- Louisa Jones - World Health OrganizationPaula AkugizibweMichaela ClaytonJoseph J AmonMiriam Lewis SabinRod BennettChristine SteglingRachel BaggaleyJames G KahnCharles B HolmesNavneet GargCarla Makhlouf ObermeyerChristina DeFilippo MackPhoebe WilliamsCaoimhe SmythMarco VitoriaSiobhan CrowleyBrian WilliamsCraig McClureReuben GranichGottfried Hirnschall
- Publication Details
- Current HIV research, v 9(6), pp 416-428
- Publisher
- Bentham Science Publishers
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000299673000008
- Scopus ID
- 2-s2.0-80055067579
- Other Identifier
- 991021895668104721
UN Sustainable Development Goals (SDGs)
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Immunology
- Infectious Diseases
- Virology