HIV, health systems, and donor fatigue

On February 17, 2012, in health systems, HIV/AIDS, research, by Karen Grepin

The March issue of BMJ-STI is devoted to the topic of HIV and health systems, which was edited by Alan Whiteside, Gary Brook, Till Bärnighausen, John Imrie and William Wong. By all accounts, the global response to the epidemic is entering into a new phase. The funding landscape is changing, the sense of urgency has changed, and yet there is still a lot to be done. The articles in this issue are all devoted to challenges facing the global response from the perspective of heath systems as it enters into this new phase of the response.

Among the collection of papers, is an article I wrote on this topic which investigates the implications of what I can “donor fatigue” for HIV and the implications this might have on health systems and treatment programs. I argue that if funding remains relatively flat, which I believe it will for a while, then donor sponsored programs will have to focus more on getting more “bang for the buck” by making efficiency improvements. My argument, however, is that most of the gains that people think of when they think of efficiency gains, namely productive efficiencies, will not alone be enough. While most everyone can agree to make productive efficiency improvements (i.e. waste less), more challenging efficiency considerations must also be made, which may mean making tradeoffs between the types of HIV activities supported (e.g. prevention vs. treatment), to which populations, and in which ways. Those types of tradeoffs are less easy to make, but may be more important in the long run.

Lots of other interesting papers here too, including one by Allison Goldberg, Ashley Fox, Radhika Gore, and Till Bärnighausen on measures of political support for HIV programs and a series of articles that look at clinical models. I encourage you to have a look.

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21 Responses to “HIV, health systems, and donor fatigue”

  1. Karen Grepin says:

    HIV, health systems, and donor fatigue http://t.co/Sy2fsphl

  2. RT @KarenGrepin: HIV, health systems, and donor fatigue http://t.co/CBJxOeUd

  3. “@KarenGrepin: HIV, #health systems, and donor fatigue http://t.co/r7DK9cVd” #global health

  4. cori says:

    HIV, health systems, and donor fatigue http://t.co/Sy2fsphl

  5. HIV, health systems, and donor fatigue http://t.co/Sy2fsphl

  6. PHS Network says:

    HIV, health systems, and donor fatigue http://t.co/3tnhod3N

  7. RT @KarenGrepin: HIV, health systems, and donor fatigue http://t.co/OQm93HU9

  8. RT @KarenGrepin: HIV, health systems, and donor fatigue http://t.co/OQm93HU9

  9. "Donor fatigue" in #globalhealth & #HIV http://t.co/04c8C68K RT @KarenGrepin

  10. RT @KarenGrepin: HIV, health systems, and donor fatigue http://t.co/SJy6qJ8p

  11. HIV, health systems, and donor fatigue http://t.co/6RqXPELu

  12. Andrew Green says:

    On my to-read list: New issue of BMJ, looking at the current state of #HIV and health systems: http://t.co/mTcOgRBs #AIDS via @karengrepin

  13. HIV Insight says:

    HIV, Health Systems & Donor Fatigue http://t.co/PGr6EJmf @KarenGrepin

  14. EK says:

    HIV, Health Systems & Donor Fatigue http://t.co/PGr6EJmf @KarenGrepin

  15. HIV, Health Systems & Donor Fatigue http://t.co/Fbcwvl5e @KarenGrepin

  16. HIV Insight says:

    HIV, Health Systems & Donor Fatigue http://t.co/Ss2ETTZ1 @KarenGrepin

  17. "@HIV_Insight: HIV, Health Systems & Donor Fatigue http://t.co/3okUaoT1 @KarenGrepin" Beat #fatigue!

  18. […] and HIV. Alan Whiteside’s editorial is freely available and depicts the articles in the issue. Karen Grepin has an article on AIDS and donor fatigue that some of you might be interested to […]

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