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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Costing human rights and community support interventions as a part of universal access to HIV treatment and care in a Southern African Setting
Current HIV Research, Volume 9, No. 6, Year 2011
Notification
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Description
Expanding access to antiretroviral therapy (ART) has both individual health benefits and potential to decrease HIV incidence. Ensuring access to HIV services is a significant human rights issue and successful programmes require adequate human rights protections and community support. However, the cost of specific human rights and community support interventions for equitable, sustainable and non-discriminatory access to ART are not well described. Human rights and community support interventions were identified using the literature and through consultations with experts. Specific costs were then determined for these health sector interventions. Population and epidemic data were provided through the Statistics South Africa 2009 national mid-year estimates. Costs of scale up of HIV prevention and treatment were taken from recently published estimates. Interventions addressed access to services, minimising stigma and discrimination against people living with HIV, confidentiality, informed consent and counselling quality. Integrated HIV programme interventions included training for counsellors, 'Know Your Rights' information desks, outreach campaigns for most at risk populations, and adherence support. Complementary measures included post-service interviews, human rights abuse monitoring, transportation costs, legal assistance, and funding for human rights and community support organisations. Other essential non-health sector interventions were identified but not included in the costing framework. The annual costs for the human rights and community support interventions are United States (US) $63.8 million (US $1.22 per capita), representing 1.5% of total health sector HIV programme costs. Respect for human rights and community engagement can be understood both as an obligation of expanded ART programmes and as a critically important factor in their success. Basic rights-based and community support interventions constitute only a small percentage of overall programmes costs. ART programs should consider measuring the cost and impact of human rights and community support interventions as key aspects of successful programme expansion. © 2011 Bentham Science Publishers.
Authors & Co-Authors
Jones, Louisa
Switzerland, Geneva
Organisation Mondiale de la Santé
Akugizibwe, Paula
Unknown Affiliation
Clayton, Michaela
Unknown Affiliation
Amon, Joseph J.
United States, New York
Human Rights Watch
Sabin, Miriam Lewis
Switzerland, Geneva
Organisation Mondiale de la Santé
Bennett, R.
Unknown Affiliation
Stegling, Christine
United Kingdom, Hove
Aids Alliance
Baggaley, Rachel Clare
Switzerland, Geneva
Organisation Mondiale de la Santé
Kahn, James G.
United States, San Francisco
University of California, San Francisco
Holmes, Charles B.
United States, Washington, D.c.
U.s. Department of State
Garg, Navneet
Switzerland, Lausanne
Vestergaard Frandsen
Makhlouf-Obermeyer, Carla
Switzerland, Geneva
Organisation Mondiale de la Santé
Defilippo Mack, Christina
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Williams, Phoebe
Switzerland, Geneva
Organisation Mondiale de la Santé
Smyth, Caoimhe
Switzerland, Geneva
Organisation Mondiale de la Santé
Vitória, Marco Antônio De Ávila
Switzerland, Geneva
Organisation Mondiale de la Santé
Crowley, Siobhan
Switzerland, Geneva
Organisation Mondiale de la Santé
Williams, Brian Gerard
South Africa, Stellenbosch
Stellenbosch University
McClure, Craig M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Granich, Reuben M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Hirnschall, Gottfried O.
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 21
Authors: 21
Affiliations: 8
Identifiers
Doi:
10.2174/157016211798038614
ISSN:
1570162X
e-ISSN:
18734251
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
South Africa