Preventing HIV under financial constraints: The 2011-12 reform of the Portuguese HIV/AIDS Programme.
Austerity
HIV/AIDS
Health care reform
Health programme
Portugal
Journal
Health policy (Amsterdam, Netherlands)
ISSN: 1872-6054
Titre abrégé: Health Policy
Pays: Ireland
ID NLM: 8409431
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
04
07
2019
revised:
21
01
2020
accepted:
17
02
2020
pubmed:
3
3
2020
medline:
29
7
2021
entrez:
3
3
2020
Statut:
ppublish
Résumé
The national HIV/AIDS Programme has been a core health programme in Portugal, and has led the country's response to the HIV epidemics since the 1980s. In 2011, the Portuguese Government reorganised central services and reformed all vertical programmes, including the HIV/AIDS Programme. This paper describes the main features of that reform and analyses selected outcomes, as well as how those financial constraints affected the response to HIV/AIDS. Despite some transitory cuts in spending, the National Programme for HIV/AIDS Infection was able to successfully expand testing and prevention interventions. Strategic partnerships with non-governmental and community-based organisations were crucial to continue delivering adequate HIV testing services and reaching most-at-risk groups. Scaling-up access to pre-exposure prophylaxis (PrEP), improving access and adherence to antiretroviral therapy, and continuously promoting access to HIV testing services and HIV self-testing are the main challenges that the National Programme for HIV/AIDS Infection will face in the upcoming years.
Identifiants
pubmed: 32115251
pii: S0168-8510(20)30045-2
doi: 10.1016/j.healthpol.2020.02.010
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
339-344Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.