A controlled study of funding for human immunodeficiency virus/acquired immunodeficiency syndrome as resource capacity building in the health system in Rwanda.

The American Journal of Tropical Medicine and Hygiene
Donald S ShepardCarlos Ávila-Figueroa

Abstract

Because human inmmunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) receives more donor funding globally than that for all other diseases combined, some critics allege this support undermines general health care. This empirical study evaluates the impact of HIV/AIDS funding on the primary health care system in Rwanda. Using a quasi-experimental design, we randomly selected 25 rural health centers (HCs) that started comprehensive HIV/AIDS services from 2002 through 2006 as the intervention group. Matched HCs with no HIV/AIDS services formed the control group. The analysis compared growth in inputs and services between intervention and control HCs with a difference-in-difference analysis in a random-effects model. Intervention HCs performed better than control HCs in most services (seven of nine), although only one of these improvements (Bacille Calmette-Guérin vaccination) reached or approached statistical significance. In conclusion, this six-year controlled study found no adverse effects of the expansion of HIV/AIDS services on non-HIV services among rural health centers in Rwanda.

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Citations

Nov 22, 2013·The New England Journal of Medicine·Agnes BinagwahoEric Goosby
Oct 31, 2012·Health Policy and Planning·Wu ZengDonald S Shepard
Sep 8, 2012·The American Journal of Tropical Medicine and Hygiene·Victoria Y FanAmanda Glassman
Apr 8, 2014·Lancet·Agnes BinagwahoPeter C Drobac
Nov 17, 2006·BMC Public Health·Nguyen Thi Bich ThuanLars Lindholm
May 11, 2011·Reproductive Health Matters·Ayako HondaMitsuaki Matsui
Feb 14, 2016·Social Psychiatry and Psychiatric Epidemiology·Bjørn StensrudAnne Signe Landheim
Feb 12, 2019·International Journal of Public Health·Ernestina CoastJoe Strong
Mar 5, 2015·Scientific Reports·Guofeng Zhang, Hanjie Zhu
Jul 10, 2012·Journal of Community Health·Preethy NayarAnn Fetrick
Aug 18, 2017·BMC Health Services Research·Alexandra WollumHerbert C Duber
Mar 20, 2013·BMC Health Services Research·Rènée du ToitPaul Courtright

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