Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Globalization and health
Abstract
In 2015, the President’s Emergency Plan for AIDS Relief undertook policy shifts to increase efficiencies
in its programming, including transitioning HIV/AIDS funding away from low burden areas. We examine the impact
of these changes on HIV outreach in Kenya and Uganda.
Methods: Qualitative data collection was conducted as a part of a broader mixed-methods evaluation. Two rounds
of facility-level case studies and national-level interviews were conducted in Kenya and Uganda, with health facility,
sub-national and central Ministry of Health staff, HIV clients, and implementing partners.
Results: In both countries, the loss of outreach support affected community-based HIV/AIDS education, testing,
peer support, and defaulter tracing.
Discussion: Loss of external support for outreach raises concerns for countries’ ability to reach the 90–90-90
UNAIDS target, as key linkages between vulnerable communities and health systems can be adversely affected.
Conclusion: Development partners should consider how to mitigate potential consequences of transition policies
to prevent negative effects at the community level
Description
Keywords
HIV/AIDS, Community outreach, Health systems, PEPFAR, Donor transition, Uganda, Kenya
Citation
Qiu, M., Paina, L., Rodríguez, D. C., Wilhelm, J. A., Eze-Ajoku, E., Searle, A., ... & Bennett, S. (2021). Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda. Globalization and health, 17(1), 1-14.https://doi.org/10.1186/s12992-021-00729-w