Investing in HIV services while building Kenya's health system: PEPFAR's support to prevent mother-to-child HIV transmission

Health Affairs

Volumn 31, Issue 7, 2012, Pages 1498-1507

  Dutta, Arin ^a   Wallace, Nathan ^a   Savosnick, Peter ^b   Adungosi, John ^c   Kioko, Urbanus Mutuku ^d   Stewart, Scott ^e   Hijazi, Mai ^e   Gichanga, Bedan ^f  

^a Palladium Group   (United States)

^b ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION   (United States)

^c FAMILY HEALTH INTERNATIONAL   (United States)

^d UNIVERSITY OF NAIROBI   (Kenya)

^e UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT   (United States)

^f USAID   (Kenya)

Author keywords

[No Author keywords available]

Indexed keywords

NEVIRAPINE; ZIDOVUDINE;

ARTICLE; CD4+ CD25+ T LYMPHOCYTE; CD4+ T LYMPHOCYTE; DISEASE TRANSMISSION; DRUG EXPOSURE; FAMILY PLANNING; FEMALE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH PROGRAM; HEALTH SERVICE; HIV TEST; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION PREVENTION; KENYA; LABOR; MATERNAL WELFARE; NON PROFIT ORGANIZATION; PREGNANT WOMAN; PRENATAL CARE; PRESIDENT EMERGENCY PLAN FOR AIDS RELIEF; SCALE UP; THIRD TRIMESTER PREGNANCY;

ANTI-HIV AGENTS; DELIVERY OF HEALTH CARE; DRUG COSTS; FEMALE; HEALTH EXPENDITURES; HIV INFECTIONS; HUMANS; INFANT, NEWBORN; INFECTIOUS DISEASE TRANSMISSION, VERTICAL; INTERNATIONAL COOPERATION; KENYA; MATERNAL HEALTH SERVICES; PREGNANCY; UNITED STATES;

EID: 84866268623     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.0227     Document Type: Article

References (18)

1. President's Emergency Plan for AIDS Relief. Five year strategy. Washington (DC): Office of the US Global AIDS Coordinator; 2009.
2. White House. Remarks by the president on World AIDS Day [Internet]. Washington (DC): White House; 2011 Dec 1 [cited 2012 Jun 18] Available from: http:// www.whitehouse.gov/the-pressoffice/ 2011/12/01/remarkspresident-world-aids-day
3. US Agency for International Development. USAID's global health strategic framework: better health for development. Washington (DC): USAID; 2012.
4. PEPFAR support to Kenya is channeled through several US government agencies. Key among them are the US Agency for International Development (USAID), Department of Health and Human Services (via the Centers for Disease Control and Prevention), Department of Defense, and Department of State. In fiscal year 2010 PEPFAR funding in Kenya could be split among these agencies, respectively, as follows: 64 percent, 30 percent, 4 percent, and 2 percent. In that year 54 percent of PEPFAR support to motherto-child transmission prevention programs in Kenya was managed by USAID.
5. President's Emergency Plan for AIDS Relief. Country operating plan budgets for Kenya, 2004-2010. Washington (DC): PEPFAR; 2010.
6. During this period, major USAID projects with a role in the prevention of mother-to-child transmisison of HIV were Call to Action, IMPACT, APHIA II, and ACCESS. Drugs and other commodities were procured through the Kenya Pharma Project, with technical assistance in logistics through the Partnership for Supply Chain Management project.
7. AIDS Population and Health Integrated Assistance II Eastern Province. APHIA II Eastern Province- quarterly program reports. Nairobi: APHIA II Eastern Province Consortium Partners; 2007-11.
8. AIDS Population and Health Integrated Assistance II Western Province. APHIA II Western Province- quarterly program reports. Nairobi: APHIA II Western Province Consortium Partners; 2007-11.
9. AIDS Population and Health Integrated Assistance II Coast Province. APHIA II Coast Province-quarterly program reports. Nairobi: APHIA II Coast Province Consortium Partners; 2007-11.
10. AIDS Population and Health Integrated Assistance II Rift Valley Province. APHIA II Rift Valley Province- quarterly program reports. Nairobi: APHIA II Rift Valley Province Consortium Partners; 2007-11.
11. To access the Appendix, click on the Appendix link in the box to the right of the article online
12. World Health Organization. Antiretroviral drugs for treating pregnant women and preventing HIV infection in infants: recommendations for a public health approach: 2010 version [Internet]. Geneva: WHO; 2010 [cited 2012 Jun 18]. Available from: http://whqlibdoc.who.int/publications/2010/9789241599818_eng.pdf
13. Kiarie J, Gachuno O, Kinuthia J, Ongech J, Inwani I, Nguti R, et al. Evaluation of utilization and effectiveness of PMTCT services in Kenya. Nairobi: University of Nairobi PMTCT Programme; 2011.
14. IMPACT Project. Kenya final report September 1999-September 2007 for USAID's Implementing AIDS Prevention and Care (IMPACT) Project. Arlington (VA): FHI360; 2007.
15. Calculated as an average of year-onyear rates of growth in total number of facilities supported over 2005-10. See the online Appendix (Note 11) for a chart describing the growth in facilities supported by FHI360 and the foundation.
16. Joint IATT Technical Review Mission, Government of Kenya. Joint IATT Technical Review Mission report: prevention of mother-to-child transmission of HIV and pediatric HIV/AIDS care and treatment. Nairobi: The Mission; 2010.
17. World Health Organization. Antiretroviral drugs for treating pregnant women and preventing HIV infection in infants. Geneva: WHO; 2006.
18. Robberstad B, Evjen-Olsen B. Preventing mother to child transmission of HIV with highly active antiretroviral treatment in Tanzania-a prospective cost-effectiveness study. J Acquir Immune Defic Syndr. 2010;55(3):397-403.