'Big push' to reduce maternal mortality in Uganda and Zambia enhanced health systems but lacked a sustainability plan

Health Affairs

Volumn 33, Issue 6, 2014, Pages 1058-1066

  Kruk, Margaret E ^a   Rabkin, Miriam ^b,c   Grépin, Karen Ann ^d   Austin Evelyn, Katherine ^a   Greeson, Dana ^a   Masvawure, Tsitsi Beatrice ^a   Sacks, Emma Rose ^a  

^a Department of Medicine   (United States)

^b Department of Medicine   (United States)

^c Columbia University ^*  (United States)

^d NEW YORK UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHILD HEALTH; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HUMAN; INTERNATIONAL COOPERATION; LEADERSHIP; MATERNAL MORTALITY; MEDICAL INFORMATION SYSTEM; ORGANIZATION AND MANAGEMENT; PUBLIC HEALTH; PUBLIC-PRIVATE PARTNERSHIP; SCALE UP; UGANDA; UNITED STATES; ZAMBIA; COST BENEFIT ANALYSIS; DEVELOPING COUNTRY; ECONOMICS; ETHNOLOGY; FORECASTING; HEALTH; HEALTH CARE PLANNING; HEALTH CARE QUALITY; NEWBORN; POVERTY; PREGNANCY; TRENDS;

COMMUNITY HEALTH PLANNING; COST-BENEFIT ANALYSIS; DEVELOPING COUNTRIES; FEMALE; FORECASTING; GLOBAL HEALTH; HEALTH SERVICES ACCESSIBILITY; HEALTH SYSTEMS PLANS; HUMANS; INFANT, NEWBORN; MATERNAL MORTALITY; POVERTY; PREGNANCY; QUALITY OF HEALTH CARE; UGANDA; ZAMBIA;

EID: 84901984512     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0637     Document Type: Article

References (37)

1. US Agency for International Development. Saving Mothers, Giving Life [home page on the Internet]. Washington (DC): USAID; 2012 [cited 2013 Jan 28]. Available from: http://www.savingmothersgivinglife.org
2. The White House. Fact sheet: the beginning of the end of AIDS [Internet]. Washington (DC): TheWhite House; 2011 Dec 1 [cited 2013 Apr 17]. Available from: http://www.whitehouse.gov/the-pressoffice/2011/12/01/fact-sheetbeginning-end-aids
3. GAVI Alliance. Over 700 million children in 49 countries to be protected against measles and rubella [Internet]. Washington (DC): GAVI; 2013 [cited 2013 Feb 8]. Available from: http://www.gavialliance.org/library/news/press-releases/2013/over-700-million-children-in-49-countries-to-be-protected-againstmeasles-and-rubella/
4. President's Malaria Initiative. Lantos-Hyde United States Government Malaria Strategy 2009-2014 [Internet]. Washington (DC): US Agency for International Development; 2010 [cited 2014 Apr 4]. Available from: http://www.pmi.gov/resources/reports/usg_ strategy2009-2014.pdf
5. Kruk ME, Jakubowski A, Rabkin M, Elul B, Friedman M, El-sadr W. PEPFAR programs linked to more deliveries in health facilities by African women who are not infected with HIV. Health Aff(Millwood). 2012; 31(7):1478-88.
6. Rabkin M, El-sadr WM, De Cock KM. The impact of HIV scale-up on health systems: a priority research agenda. J Acquir Immune Defic Syndr. 2009;52 Suppl 1:S6-11.
7. Biesma RG, Brugha R, Harmer A, Walsh A, Spicer N, Walt G. The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control. Health Policy Planning. 2009; 24(4):239-52.
8. World Health Organization Maximizing Positive Synergies Collaborative Group, Samb B, Evans T, Dybul M, Atun R, Moatti JP, et al. An assessment of interactions between global health initiatives and country health systems. Lancet. 2009; 373(9681):2137-69.
9. Car J, Paljärvi T, Car M, Kazeem A, Majeed A, Atun R. Negative health system effects of Global Fund's investments in AIDS, tuberculosis, and malaria from 2002 to 2009: systematic review. JRSM Short Rep. 2012; 3(10):70.
10. Coker R, Balen J, Mounier-jack S, Shigayeva A, Lazarus JV, Rudge JW, et al. A conceptual and analytical approach to comparative analysis of country case studies: HIV and TB control programmes and health systems integration. Health Policy Plan. 2010;25 Suppl 1:121-31.
11. Brugha R, Donoghue M, Starling M, Ndubani P, Ssengooba F, Fernandes B, et al. The Global Fund: managing great expectations. Lancet. 2004; 364(9428):95-100.
12. Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, et al. Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet. 2011; 378(9797):1139-65.
13. Uganda Bureau of Statistics, ICF International Inc. Uganda Demographic and Health Survey 2011. Calverton (MD): ICF International Inc.; 2012.
14. Central Statistics Office, Ministry of Health, Tropical Diseases Research Centre, University of Zambia, Macro International Inc. Zambia Demographic and Health Survey 2007. Calverton (MD): Macro International Inc.; 2009.
15. Joint United Nations Programme on HIV/AIDS. Zambia: HIV and AIDS estimates 2012 [Internet]. Geneva: UNAIDS; 2012 [cited 2014 May 6]. Available from: http://www.unaids.org/en/regionscountries/countries/zambia/
16. World Health Organization. World health report 2006: working together for health. Geneva: WHO; 2006.
17. World Health Organization. Global health observatory data repository [Internet]. Geneva: WHO; 2013 [cited 2013 Jan 29]. Available from: http://apps.who.int/gho/data/
18. Global Health Initiative. Saving Mothers, Giving Life Uganda: operational plan, January 2012-February 2013. Washington (DC): GHI; 2011.
19. Global Health Initiative. Saving Mothers' Lives Zambia: operational plan, October 2011-December 2012. Washington (DC): GHI; 2011.
20. World Health Organization, United Nations Children's Fund, United Nations Population Fund, World Bank. Trends in maternal mortality 1990-2010: WHO, UNICEF, UNFPA, and the World Bank estimates [Internet]. Geneva: WHO; 2012 [cited 2014 Apr 18]. Available from: http://whqlibdoc.who.int/publications/2012/9789241503631_eng.pdf
21. Steckler A, Linnan L, editors. Process evaluation for public health interventions and research. San Francisco (CA): Jossey-Bass; 2002.
22. De Savigny D, Adam T, editors. Systems thinking for health systems strengthening. Geneva: Alliance for Health Policy and Systems Research; 2009.
23. Sterman JD. Learning from evidence in a complex world. Am J Public Health. 2006; 96(3):505-14.
24. Glaser BG. The constant comparative method of qualitative analysis. Social Problems. 1965;12:436-45.
25. World Health Organization. Everybody's business: strengthening health systems to improve health outcomes: WHO's framework for action. Geneva: WHO; 2007.
26. Oomman N, Bernstein M, Rosenzweig S. Seizing the opportunity on AIDS and health systems. Washington (DC): Center for Global Development; 2008.
27. Ooms G, Van Damme W, Baker BK, Zeitz P, Schrecker T. The "diagonal" approach to Global Fund financing: a cure for the broader malaise of health systems? Global Health. 2008;4:6.
28. Frenk J. Reinventing primary health care: the need for systems integration. Lancet. 2009; 374(9684):170-3.
29. Brugha R, Simbaya J, Walsh A, Dicker P, Ndubani P. How HIV/AIDS scale-up has impacted on non-HIV priority services in Zambia. BMC Public Health. 2010;10:540.
30. Sgaier SK, Ramakrishnan A, Dhingra N, Wadhwani A, Alexander A, Bennett S, et al. How the Avahan HIV prevention program transitioned from the Gates Foundation to the government of India. Health Aff(Millwood). 2013; 32(7):1265-73.
31. Brugha R, Starling M, Walt G. GAVI, the first steps: lessons for the Global Fund. Lancet. 2002; 359(9304): 435-8.
32. Saxenian H, Cornejo S, Thorien K, Hecht R, Schwalbe N. An analysis of how the GAVI Alliance and low-and middle-income countries can share costs of new vaccines. Health Aff(Millwood). 2011; 30(6):1122-33.
33. Vermund SH, Sidat M, Weil LF, Tique JA, Moon TD, Ciampa PJ. Transitioning HIV care and treatment programs in southern Africa to full local management. AIDS. 2012; 26(10):1303-10.
34. Birdsall N, SavedoffWD. Cash on delivery: a new approach to foreign aid. Washington (DC): Center for Global Development; 2010.
35. Joint United Nations Programme on HIV/AIDS. "Three Ones" key principles [Internet]. Geneva: UNAIDS; 2003 [cited 2014 Apr 18]. Available from: http://www.unaids.org.ua/files/three-ones_keyprinciples_ en.pdf
36. Joint United Nations Programme on HIV/AIDS. The "Three Ones" in action: where we are and where we go from here. Geneva: UNAIDS; 2005.
37. Institute of Medicine. Evaluation of PEPFAR. Washington (DC): National Academies Press; 2013.