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Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda
Mary Qiu1, Ligia Paina2, Daniela C Rodríguez2
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. maryqiu02@gmail.com.
Introduction:
In 2015, the President's Emergency Plan for AIDS Relief undertook policy shifts to increase efficiencies in its programming, including transitioning HIV/AIDS funding away from low burden areas. We examine the impact of these changes on HIV outreach in Kenya and Uganda.
Methods:
Qualitative data collection was conducted as a part of a broader mixed-methods evaluation. Two rounds of facility-level case studies and national-level interviews were conducted in Kenya and Uganda, with health facility, sub-national and central Ministry of Health staff, HIV clients, and implementing partners.
Results:
In both countries, the loss of outreach support affected community-based HIV/AIDS education, testing, peer support, and defaulter tracing.
Discussion:
Loss of external support for outreach raises concerns for countries' ability to reach the 90-90-90 UNAIDS target, as key linkages between vulnerable communities and health systems can be adversely affected.
Conclusion:
Development partners should consider how to mitigate potential consequences of transition policies to prevent negative effects at the community level.
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