Document Detail


Are country reputations for good and bad leadership on AIDS deserved? An exploratory quantitative analysis.
MedLine Citation:
PMID:  18791202     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Some countries (e.g. Brazil) have good reputations on AIDS policy, whereas others, (notably South Africa) have been criticized for inadequate leadership. Cross-country regression analysis reveals that these 'poster children' for AIDS leadership have indeed performed better or worse than expected given their economic and institutional constraints and the demographic and health challenges facing them. Regressions were run on HAART coverage (number on highly active antiretroviral therapy as percentage of total need) and MTCTP coverage (pregnant HIV+ women accessing mother-to-child-transmission prevention services as percentage of total need). Brazil, Cambodia, Thailand and Uganda (all of whom have established reputations for good leadership on AIDS performed consistently better than expected-as did Burkina-Faso, Suriname, Paraguay Costa Rica, Mali and Namibia. South Africa, which has the worst reputation for AIDS leadership, performed significantly below expectations-as did Uruguay and Trinidad and Tobago. The paper thus confirms much of the conventional wisdom on AIDS leadership at country level and suggests new areas for research.
Authors:
Nicoli Nattrass
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-09-12
Journal Detail:
Title:  Journal of public health (Oxford, England)     Volume:  30     ISSN:  1741-3850     ISO Abbreviation:  J Public Health (Oxf)     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101188638     Medline TA:  J Public Health (Oxf)     Country:  England    
Other Details:
Languages:  eng     Pagination:  398-406     Citation Subset:  IM    
Affiliation:
AIDS and Society Research Unit, University of Cape Town, Rondebosch, Cape Town, South Africa. nicoli.nattrass@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / drug therapy,  epidemiology,  prevention & control*,  transmission
Anti-HIV Agents / therapeutic use*
Antiretroviral Therapy, Highly Active*
Female
Health Policy*
Humans
International Cooperation*
Leadership*
Male
Public Health*
Public Health Administration*
Regression Analysis
Socioeconomic Factors
South Africa
World Health
Chemical
Reg. No./Substance:
0/Anti-HIV Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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