Exploring the evolution of policies for universal antiretroviral therapy and their implementation across three sub-Saharan African countries: Findings from the SHAPE study.


Journal

Global public health
ISSN: 1744-1706
Titre abrégé: Glob Public Health
Pays: England
ID NLM: 101256323

Informations de publication

Date de publication:
02 2021
Historique:
pubmed: 5 12 2020
medline: 3 11 2021
entrez: 4 12 2020
Statut: ppublish

Résumé

Universal antiretroviral therapy (ART) strategies have dramatically changed HIV programming across sub-Saharan Africa. We explored factors that influenced the development, adoption and implementation of universal ART policies in Tanzania, South Africa and Malawi. We conducted 26 key informant interviews and applied Kingdon's 'streams' model to explore how problems, policies and politics converged to provide a window of opportunity for universal ART roll-out. Weak health systems and sub-optimal care retention were raised as

Identifiants

pubmed: 33275872
doi: 10.1080/17441692.2020.1851386
pmc: PMC7612916
mid: EMS146172
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

227-240

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/P014313/1
Pays : United Kingdom

Références

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Auteurs

Moses Kumwenda (M)

Helse Nord TB Initiative, College of Medicine, University of Malawi, Blantyre, Malawi.
Malawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.

Morten Skovdal (M)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Alison Wringe (A)

Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Thoko Kalua (T)

Department of HIV and AIDS, Ministry of Health, Lilongwe, Malawi.

Hadija Kweka (H)

Independent consultant, Dar es Salaam, United Republic of Tanzania.

John Songo (J)

Malawi Epidemiology and Intervention Research Unit, Karonga, Malawi.

Farida Hassan (F)

Ifakara Health Institute, Dar es Salaam, United Republic of Tanzania.

Rujeko Samanthia Chimukuche (RS)

African Health Research Institute, Durban, South Africa.

Mosa Moshabela (M)

African Health Research Institute, Durban, South Africa.
University of KwaZulu-Natal, KwaZulu-Natal, South Africa.

Janet Seeley (J)

Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
African Health Research Institute, Durban, South Africa.

Jenny Renju (J)

Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania.

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Classifications MeSH