Publications

Investing In HIV Services While While Building Kenya's Health System: PEPFAR's Support To Prevent Mother-To-Child HIV Transmission

Arin Dutta, Nathan Wallace, Peter Savosnick, John Adungosi, Urbanus Mutuku Kioko, Scott Stewart
7/1/2012
English
Full Document (pdf 812.8 kb)

This article, based on work completed by the USAID | Health Policy Initiative Costing Task Order, was published in the July 2012 special PEPFAR edition of the journal Health Affairs.

The paper asks the question, "in an era of constrained resources, does promoting a sustainable HIV response necessitate a trade-off between funding health systems strengthening (HSS) and promoting the rapid scale-up service delivery?" The Kenya case study presented focuses on prevention of mother-to-child transmission (PMTCT) programs in Kenya spanning the two phases of PEPFAR (PEPFAR I and II), from an emergency response focused on rapid scale-up to an expanded response which also included health systems strengthening (HSS) to increase sustainability and country ownership. The objective in this analysis was to assess what associations exist between the balancing off HSS and service scale up, and PMTCT outcomes based on expenditure and output data on FHI 360 & Elizabeth Glasier Pediatric AIDS Foundation PMTCT programs from 2005 ? 2010 in Kenya. Results showed that based on the case study, PEPFAR II's expanded response does not hinder PMTCT program scale-up.

Document Type:	Conference Papers/Journal Articles
No. of Pages:	10
Country:	Kenya
Keywords:	Policy Formulation, PMTCT, Case Studies

Last Updated 8/7/12

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