What does sustainability mean in the HIV and AIDS response?

African Journal of AIDS Research : AJAR
Gemma Oberth, Alan Whiteside

Abstract

Immense progress has been made in the fight against HIV and AIDS. Achieving and exceeding the AIDS targets for the Millennium Development Goals (MDGs) was accomplished, in large part, due to an unprecedented financial investment from the international community. Following an $800 million dip in donor disbursements in 2010, the discourse has since shifted to the need for greater sustainability of funding. But what does sustainability mean? Current efforts focus heavily on fiscal imperatives such as increasing domestic funding. This is important - needs are increasing at a faster rate than donor funding, especially with increased treatment coverage. The problem is that measures of financial sustainability tell very little about the actual sustainability of specific programmes, disease trajectories or enabling environments. Recognising that current definitions of sustainability lack clarity and depth, we offer a new six-tenet conceptualisation of what sustainability means in the HIV and AIDS response: (1) financial, (2) epidemiological, (3) political, (4) structural, (5) programmatic, and (6) human rights. Based on these, we examine examples of donor transitions for their approach to sustainability, including PEPFAR in South Afric...Continue Reading

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Citations

Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Deborah KalielAriel Berry
Jul 18, 2018·AIDS Care·Sarah SkeenLorraine Sherr
Mar 21, 2019·Journal of the International AIDS Society·Kornelia FlämigRemco van de Pas
Nov 30, 2019·African Journal of AIDS Research : AJAR·Caroline A BulstraTill Bärnighausen
Aug 12, 2016·Current HIV/AIDS Reports·Elizabeth MarumMary Grace Alwano
Dec 20, 2017·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Ernesto BáscoloAmalia Del Riego
Jul 6, 2019·Journal of Global Health·Jennifer YourkavitchIbrahim Ndaliman
Aug 21, 2018·Global Health Research and Policy·Henry ZakumumpaElizeus Rutebemberwa
Feb 6, 2020·Bulletin of the World Health Organization·Susan P Sparkes, Joseph Kutzin
Feb 24, 2018·African Journal of AIDS Research : AJAR·Rebecca Hodes, Robert Morrell
Nov 6, 2020·Substance Abuse Treatment, Prevention, and Policy·Lauren CatonMark McGovern
Mar 27, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nwanneka E OkereGabriela B Gomez
Aug 28, 2021·International Journal of Environmental Research and Public Health·Nwanneka E OkereGabriela B Gomez

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