Document Detail


Private sector provision and financing of AIDS treatment in Africa: current developments.
MedLine Citation:
PMID:  18366951     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite the rapid expansion of public sector highly active antiretroviral (ARV) treatment programs, the private sector continues to be an important source of services and financing for AIDS treatment in Africa. This article reviews currently available information on private sector initiatives, including recent innovations. Private sector providers continue to offer ARV treatment, although adherence problems resulting from high user fees indicate the need for employer, donor, or insurance support. Employer clinics have reported impressive results in patient recruitment and survival. Health insurers are removing AIDS exclusions and expanding AIDS coverage, in some cases with targeted lower cost policies. Public- or donor-funded ARVs have been used to leverage the expansion of populations treated at employer clinics, and attempts are underway to contract for private sector services using public and donor funds. With both funds and clinical resources stretched to meet AIDS treatment goals in countries with a high prevalence of HIV, further efforts are indicated to leverage private sector resources as part of a national treatment plan.
Authors:
Frank Feeley; Patrick Connelly; Sydney Rosen
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Current HIV/AIDS reports     Volume:  4     ISSN:  1548-3568     ISO Abbreviation:  -     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-03-27     Completed Date:  2008-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235661     Medline TA:  Curr HIV/AIDS Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  192-200     Citation Subset:  IM    
Affiliation:
Center for International Health and Development, Boston University School of Public Health, 85 E. Concord Street, 5th Floor, Boston, MA 02118, USA. ffeeley@bu.edu
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / drug therapy*
Africa
Health Care Costs*
Humans
Insurance, Health
Private Sector*

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


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