| Allocating funds for HIV/AIDS: a descriptive study of KwaDukuza, South Africa. | |
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MedLine Citation:
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PMID: 20551138 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: through a descriptive study, we determined the factors that influence the decision-making process for allocating funds to HIV/AIDS prevention and treatment programmes, and the extent to which formal decision tools are used in the municipality of KwaDukuza, South Africa. METHODS: we conducted 35 key informant interviews in KwaDukuza. The interview questions addressed specific resource allocation issues while allowing respondents to speak openly about the complexities of the HIV/AIDS resource allocation process. RESULTS: donors have a large influence on the decision-making process for HIV/AIDS resource allocation. However, advocacy groups, governmental bodies and local communities also play an important role. Political power, culture and ethics are among a set of intangible factors that have a strong influence on HIV/AIDS resource allocation. Formal methods, including needs assessment, best practice approaches, epidemiologic modelling and cost-effectiveness analysis are sometimes used to support the HIV/AIDS resource allocation process. Historical spending patterns are an important consideration in future HIV/AIDS allocation strategies. CONCLUSIONS: several factors and groups influence resource allocation in KwaDukuza. Although formal economic and epidemiologic information is sometimes used, in most cases other factors are more important for resource allocation decision-making. These other factors should be considered in any attempts to improve the resource allocation processes. |
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Authors:
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Arielle Lasry; Michael W Carter; Gregory S Zaric |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-06-15 |
Journal Detail:
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Title: Health policy and planning Volume: 26 ISSN: 1460-2237 ISO Abbreviation: Health Policy Plan Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-27 Completed Date: 2011-05-09 Revised Date: 2012-01-02 |
Medline Journal Info:
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Nlm Unique ID: 8610614 Medline TA: Health Policy Plan Country: England |
Other Details:
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Languages: eng Pagination: 33-42 Citation Subset: H |
Affiliation:
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Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS-E-48, Atlanta, GA 30329, USA. alasry@cdc.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Decision Making Female HIV Infections / economics, prevention & control* Health Promotion / economics* Humans Interviews as Topic Male Resource Allocation / organization & administration* South Africa |
| Grant Support | |
ID/Acronym/Agency:
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R01 DA015612-10/DA/NIDA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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