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HIV service delivery models towards 'Zero AIDS-related Deaths': a collaborative case study of 6 Asia and Pacific countries.

Identifieur interne : 000052 ( PubMed/Corpus ); précédent : 000051; suivant : 000053

HIV service delivery models towards 'Zero AIDS-related Deaths': a collaborative case study of 6 Asia and Pacific countries.

Auteurs : Masami Fujita ; Krishna C. Poudel ; Kimberly Green ; Teodora Wi ; Iyanthi Abeyewickreme ; Massimo Ghidinelli ; Masaya Kato ; Mean Chhi Vun ; Seng Sopheap ; Khin Ohnmar San ; Phavady Bollen ; Krishna Kumar Rai ; Atul Dahal ; Durga Bhandari ; Peniel Boas ; Jessica Yaipupu ; Petchsri Sirinirund ; Pairoj Saonuam ; Bui Duc Duong ; Do Thi Nhan ; Nguyen Thi Minh Thu ; Masamine Jimba

Source :

RBID : pubmed:25902708

English descriptors

Abstract

In the Asia-Pacific region, limited systematic assessment has been conducted on HIV service delivery models. Applying an analytical framework of the continuum of prevention and care, this study aimed to assess HIV service deliveries in six Asia and Pacific countries from the perspective of service availability, linking approaches and performance monitoring for maximizing HIV case detection and retention.

DOI: 10.1186/s12913-015-0804-5
PubMed: 25902708

Links to Exploration step

pubmed:25902708

Le document en format XML

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<name sortKey="Wi, Teodora" sort="Wi, Teodora" uniqKey="Wi T" first="Teodora" last="Wi">Teodora Wi</name>
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<name sortKey="Abeyewickreme, Iyanthi" sort="Abeyewickreme, Iyanthi" uniqKey="Abeyewickreme I" first="Iyanthi" last="Abeyewickreme">Iyanthi Abeyewickreme</name>
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<name sortKey="Kato, Masaya" sort="Kato, Masaya" uniqKey="Kato M" first="Masaya" last="Kato">Masaya Kato</name>
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<name sortKey="Vun, Mean Chhi" sort="Vun, Mean Chhi" uniqKey="Vun M" first="Mean Chhi" last="Vun">Mean Chhi Vun</name>
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<name sortKey="Rai, Krishna Kumar" sort="Rai, Krishna Kumar" uniqKey="Rai K" first="Krishna Kumar" last="Rai">Krishna Kumar Rai</name>
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<name sortKey="Dahal, Atul" sort="Dahal, Atul" uniqKey="Dahal A" first="Atul" last="Dahal">Atul Dahal</name>
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<nlm:affiliation>World Health Organization, Kathmandu, Nepal. dahala@SEARO.WHO.INT.</nlm:affiliation>
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<name sortKey="Bhandari, Durga" sort="Bhandari, Durga" uniqKey="Bhandari D" first="Durga" last="Bhandari">Durga Bhandari</name>
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<name sortKey="Boas, Peniel" sort="Boas, Peniel" uniqKey="Boas P" first="Peniel" last="Boas">Peniel Boas</name>
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<name sortKey="Sirinirund, Petchsri" sort="Sirinirund, Petchsri" uniqKey="Sirinirund P" first="Petchsri" last="Sirinirund">Petchsri Sirinirund</name>
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<name sortKey="Saonuam, Pairoj" sort="Saonuam, Pairoj" uniqKey="Saonuam P" first="Pairoj" last="Saonuam">Pairoj Saonuam</name>
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<name sortKey="Nhan, Do Thi" sort="Nhan, Do Thi" uniqKey="Nhan D" first="Do Thi" last="Nhan">Do Thi Nhan</name>
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<name sortKey="Kato, Masaya" sort="Kato, Masaya" uniqKey="Kato M" first="Masaya" last="Kato">Masaya Kato</name>
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<name sortKey="Vun, Mean Chhi" sort="Vun, Mean Chhi" uniqKey="Vun M" first="Mean Chhi" last="Vun">Mean Chhi Vun</name>
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<name sortKey="Sopheap, Seng" sort="Sopheap, Seng" uniqKey="Sopheap S" first="Seng" last="Sopheap">Seng Sopheap</name>
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<nlm:affiliation>National Center for HIV/AIDS, Dermatology and STD, Ministry of Health, Phnom Penh, Cambodia. sengsopheap@nchads.org.</nlm:affiliation>
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<name sortKey="San, Khin Ohnmar" sort="San, Khin Ohnmar" uniqKey="San K" first="Khin Ohnmar" last="San">Khin Ohnmar San</name>
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<nlm:affiliation>Formerly National AIDS Program, Ministry of Health, Nay Pyi Taw, Myanmar. komsinya@gmail.com.</nlm:affiliation>
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<name sortKey="Bollen, Phavady" sort="Bollen, Phavady" uniqKey="Bollen P" first="Phavady" last="Bollen">Phavady Bollen</name>
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<nlm:affiliation>World Health Organization, Yangon, Myanmar. Bollenp@SEARO.WHO.INT.</nlm:affiliation>
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<name sortKey="Rai, Krishna Kumar" sort="Rai, Krishna Kumar" uniqKey="Rai K" first="Krishna Kumar" last="Rai">Krishna Kumar Rai</name>
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<nlm:affiliation>National Center for AIDS and STD Control, Ministry of Health, Kathmandu, Nepal. raikrishnadr@yahoo.com.</nlm:affiliation>
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<name sortKey="Dahal, Atul" sort="Dahal, Atul" uniqKey="Dahal A" first="Atul" last="Dahal">Atul Dahal</name>
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<nlm:affiliation>World Health Organization, Kathmandu, Nepal. dahala@SEARO.WHO.INT.</nlm:affiliation>
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<name sortKey="Bhandari, Durga" sort="Bhandari, Durga" uniqKey="Bhandari D" first="Durga" last="Bhandari">Durga Bhandari</name>
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<nlm:affiliation>FHI 360, Kathmandu, Nepal. durgapbhandari@gmail.com.</nlm:affiliation>
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<name sortKey="Boas, Peniel" sort="Boas, Peniel" uniqKey="Boas P" first="Peniel" last="Boas">Peniel Boas</name>
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<nlm:affiliation>STI, HIV and AIDS Surveillance Unit, Ministry of Health, Port Moresby, Papua New Guinea. boaspeniel@yahoo.com.</nlm:affiliation>
</affiliation>
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<name sortKey="Yaipupu, Jessica" sort="Yaipupu, Jessica" uniqKey="Yaipupu J" first="Jessica" last="Yaipupu">Jessica Yaipupu</name>
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<nlm:affiliation>World Health Organization, Port Moresby, Papua New Guinea. Yaipupuj@wpro.who.int.</nlm:affiliation>
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<name sortKey="Sirinirund, Petchsri" sort="Sirinirund, Petchsri" uniqKey="Sirinirund P" first="Petchsri" last="Sirinirund">Petchsri Sirinirund</name>
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<nlm:affiliation>National AIDS Management Center, Ministry of Public Health, Bangkok, Thailand. spetchsri@gmail.com.</nlm:affiliation>
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<name sortKey="Saonuam, Pairoj" sort="Saonuam, Pairoj" uniqKey="Saonuam P" first="Pairoj" last="Saonuam">Pairoj Saonuam</name>
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<nlm:affiliation>National AIDS Management Center, Ministry of Public Health, Bangkok, Thailand. drpairoj.saonuam@yahoo.com.</nlm:affiliation>
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<name sortKey="Duong, Bui Duc" sort="Duong, Bui Duc" uniqKey="Duong B" first="Bui Duc" last="Duong">Bui Duc Duong</name>
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<nlm:affiliation>Vietnam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam. bdduong06@gmail.com.</nlm:affiliation>
</affiliation>
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<name sortKey="Nhan, Do Thi" sort="Nhan, Do Thi" uniqKey="Nhan D" first="Do Thi" last="Nhan">Do Thi Nhan</name>
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<nlm:affiliation>Vietnam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam. dothinhan@gmail.com.</nlm:affiliation>
</affiliation>
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<name sortKey="Thu, Nguyen Thi Minh" sort="Thu, Nguyen Thi Minh" uniqKey="Thu N" first="Nguyen Thi Minh" last="Thu">Nguyen Thi Minh Thu</name>
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<nlm:affiliation>Clinton Health Access Initiative, Hanoi, Vietnam. thu2009@gmail.com.</nlm:affiliation>
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<name sortKey="Jimba, Masamine" sort="Jimba, Masamine" uniqKey="Jimba M" first="Masamine" last="Jimba">Masamine Jimba</name>
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<front>
<div type="abstract" xml:lang="en">In the Asia-Pacific region, limited systematic assessment has been conducted on HIV service delivery models. Applying an analytical framework of the continuum of prevention and care, this study aimed to assess HIV service deliveries in six Asia and Pacific countries from the perspective of service availability, linking approaches and performance monitoring for maximizing HIV case detection and retention.</div>
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<DateCreated>
<Year>2015</Year>
<Month>05</Month>
<Day>06</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>07</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>05</Month>
<Day>07</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1472-6963</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>15</Volume>
<PubDate>
<Year>2015</Year>
<Month>Apr</Month>
<Day>24</Day>
</PubDate>
</JournalIssue>
<Title>BMC health services research</Title>
<ISOAbbreviation>BMC Health Serv Res</ISOAbbreviation>
</Journal>
<ArticleTitle>HIV service delivery models towards 'Zero AIDS-related Deaths': a collaborative case study of 6 Asia and Pacific countries.</ArticleTitle>
<Pagination>
<MedlinePgn>176</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s12913-015-0804-5</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In the Asia-Pacific region, limited systematic assessment has been conducted on HIV service delivery models. Applying an analytical framework of the continuum of prevention and care, this study aimed to assess HIV service deliveries in six Asia and Pacific countries from the perspective of service availability, linking approaches and performance monitoring for maximizing HIV case detection and retention.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Each country formed a review team that provided published and unpublished information from the national HIV program. Four types of continuum were examined: (i) service linkages between key population outreach and HIV diagnosis (vertical-community continuum); (ii) chronic care provision across HIV diagnosis and treatment (chronological continuum); (iii) linkages between HIV and other health services (horizontal continuum); and (iv) comprehensive care sites coordinating care provision (hub and heart of continuum).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Regarding the vertical-community continuum, all districts had voluntary counselling and testing (VCT) in all countries except for Myanmar and Vietnam. In these two countries, limited VCT availability was a constraint for referring key populations reached. All countries monitored HIV testing coverage among key populations. Concerning the chronological continuum, the proportion of districts/townships having antiretroviral treatment (ART) was less than 70% except in Thailand, posing a barrier for accessing pre-ART/ART care. Mechanisms for providing chronic care and monitoring retention were less developed for VCT/pre-ART process compared to ART process in all countries. On the horizontal continuum, the availability of HIV testing for tuberculosis patients and pregnant women was limited and there were sub-optimal linkages between tuberculosis, antenatal care and HIV services except for Cambodia and Thailand. These two countries indicated higher HIV testing coverage than other countries. Regarding hub and heart of continuum, all countries had comprehensive care sites with different degrees of community involvement.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The analytical framework was useful to identify similarities and considerable variations in service availability and linking approaches across the countries. The study findings would help each country critically adapt and adopt global recommendations on HIV service decentralization, linkages and integration. Especially, the findings would inform cross-fertilization among the countries and national HIV program reviews to determine county-specific measures for maximizing HIV case detection and retention.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Fujita</LastName>
<ForeName>Masami</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>World Health Organization Cambodia, P.O. Box 1217, , No. 177-179 Pasteur (St.51), Sangkat Chak Tomouk, Phnom Penh, Cambodia. FujitaM@who.int.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Poudel</LastName>
<ForeName>Krishna C</ForeName>
<Initials>KC</Initials>
<AffiliationInfo>
<Affiliation>Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, USA. krishna@schoolph.umass.edu.</Affiliation>
</AffiliationInfo>
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<LastName>Green</LastName>
<ForeName>Kimberly</ForeName>
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<Affiliation>Formerly FHI 360, Accra, Ghana. kimberlyegreen@icloud.com.</Affiliation>
</AffiliationInfo>
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<LastName>Wi</LastName>
<ForeName>Teodora</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>World Health Organization, Geneva, Switzerland. wit@who.int.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Abeyewickreme</LastName>
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