Jamra primary scholl for children affected by HIV/AIDS, drugs or poverty, Senegal (c) Nell Freeman/Alliance Participants in the Photovioce project, Ecuador © Marcela Nievas for the Alliance
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New reports highlight the role of HSS in reducing HIV in Vietnam and Jamaica

26
SEP
2011

Aids Alliance

The Alliance has contributed to work undertaken under the AIDSTAR-Two Project to determine how to make the health systems in Jamaica and Vietnam more effective at reducing the HIV/AIDS burden in most at risk populations (MARPs).

Why HSS for MARPs?

The country studies look at the importance of health system strengthening (HSS) for MARPs were commissioned because:

  • Transmission (incidence) in MARPs populations and between MARPs populations and the general population of men and women remains high
  • Access to and demand for cost effective interventions in these critical populations at the right times and places remains low
  • Significant health systems barriers exist hindering the supply of and demand for these interventions
  • There is not enough money to focus on everything, for everyone, all the time, everywhere. 
Methodology

The reports provide a basic description of the components of a health system and how they function in the delivery of interventions to reduce HIV transmission in MARPS.

They go on to analyse the major aspects of these two health systems  to understand why HIV/AIDS programs perform as they do.

The recommendations show how policy makers can improve health system performance to maximize impact on HIV/AIDS transmission in MARPS and between MARPS and the general population.

The Vietnam report has already been used by the Provincial AIDS Council in Ho Chi Minh City who are undertaking a review of their MSM programme.  They are utilising the methodology and findings to determine if they are putting resources into the right interventions for the right populations at the right time.

In Jamaica, the report was used as a key informant document for the recent external evaluation of the National HIV Program.  It is also being used as the basis for developing a round 11 proposal for the Global Fund.

The reports
  • HEALTH SYSTEM STRENGTHENING FOR HIV/AIDS: Reaching Vietnam’s Most-At-Risk Populations plus Appendices IV, V and VI. Download reports
  • MEETING THE NEEDS OF VIETNAM’S MOST-AT-RISK POPULATIONS: Using a causal pathway analysis to determine funding priorities to address HIV/AIDS plus Appendices III, IV and V. Download reports
  • HEALTH SYSTEM STRENGTHENING FOR HIV/AIDS: Reaching Jamaica’s Most-At-Risk Populations and MEETING THE NEEDS OF JAMAICA’S MOST-AT-RISK POPULATIONS: Using a causal pathway analysis to determine funding priorities to address HIV/AIDS Download reports
About AIDSTAR-Two

The AIDSTAR-Two Project is led by Management Sciences for Health (MSH) in partnership with the International HIV/AIDS Alliance. The project supports local NGOs, CSOs, public sector institutions and networks that work with the United States President’s Emergency Plan for AIDS Relief (PEPFAR) to maximize the impact of HIV/AIDS programs.