|
|
Makerere University Research Repository >
College of Health Sciences >
Infectious Diseases Institute >
Conference Reports and Articles (IDI) >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1838
|
| Title: | The effects of an HIV project on HIV and non-HIV services at local government clinics in urban Kampala |
| Authors: | Matsubayashi, Toru
Manabe, Yukari C
Etonu, Allan
Kyegombe, Nambusi
Muganzi, Alex
Coutinho, Alex
Peters, David H |
| Keywords: | HIV/AIDS
Government clinics
Uganda
Health systems
Health services |
| Issue Date: | 2011 |
| Publisher: | BioMed Central |
| Citation: | Matsubayashi, T., Munabe, Y.C., Etonu, A., Kyegombe, N., Muganzi, A., Coutinho, A., Peters, D.H. (2011).The effects of an HIV project on HIV and non-HIV services at local government clinics in urban Kampala. BMC International Health and Human Rights, 11(Suppl 1):S9) |
| Abstract: | Background: HIV/AIDS is a major public health concern in Uganda. There is widespread consensus that weak
health systems hamper the effective provision of HIV/AIDS services. In recent years, the ways in which HIV/AIDS focused
programs interact with the delivery of other health services is often discussed, but the evidence as to
whether HIV/AIDS programs strengthen or distort overall health services is limited. The aim of this study was to
examine the effect of a PEPFAR-funded HIV/AIDS program on six government-run general clinics in Kampala.
Methods: Longitudinal information on the delivery of health services was collected at each clinic. Monthly changes in
the volume of HIV and non-HIV services were analyzed by using multilevel models to examine the effect of an HIV/AIDS
program on health service delivery. We also conducted a cross-sectional survey utilizing patient exit interviews to
compare perceptions of the experiences of patients receiving HIV care and those receiving non-HIV care.
Results: All HIV service indicators showed a positive change after the HIV program began. In particular, the
number of HIV lab tests (10.58, 95% Confidence Interval (C.I.): 5.92, 15.23) and the number of pregnant women
diagnosed with HIV tests (0.52, 95%C.I.: 0.15, 0.90) increased significantly after the introduction of the project. For
non-HIV/AIDS health services, TB lab tests (1.19, 95%C.I.: 0.25, 2.14) and diagnoses (0.34, 95%C.I.: 0.05, 0.64) increased
significantly. Noticeable increases in trends were identified in pediatric care, including immunization (52.43, 95%C.I.:
32.42, 74.43), malaria lab tests (1.21, 95%C.I.: 0.67, 1.75), malaria diagnoses (7.10, 95%C.I.: 0.73, 13.46), and skin
disease diagnoses (4.92, 95%C.I.: 2.19, 7.65). Patients’ overall impressions were positive in both the HIV and non-HIV
groups, with more than 90% responding favorably about their experiences.
Conclusions: This study shows that when a collaboration is established to strengthen existing health systems, in
addition to providing HIV/AIDS services in a setting in which other primary health care is being delivered, there are
positive effects not only on HIV/AIDS services, but also on many other essential services. There was no evidence
that the HIV program had any deleterious effects on health services offered at the clinics studied. |
| URI: | http://www.biomedcentral.com/1472-698X/11/S1/S9
http://hdl.handle.net/123456789/1838 |
| ISSN: | 1472-698X |
| Appears in Collections: | Conference Reports and Articles (IDI)
|
Files in This Item:
| File |
Description |
Size | Format |
|---|
| matsubayashi-idi-res.pdf | | 813Kb | Adobe PDF | View/Open |
|
All items in DSpace are protected by copyright, with all rights reserved.
|
