Monitoring Equity in Access to AIDS Treatment Programmes: A Review of Concepts, Models, Methods and Indicators
(2010; 98 pages)

Strong health systems are essential for equitable and sustainable HIV/AIDS – related programmes. Health systems need to be accessible and responsive to the specific needs of excluded groups, such as under-served rural and low-income communities. Against a background of wider inequities in health and health care, the expansion of HIV/AIDS treatment and care should tap any opportunities to strengthen equity in the provision of good quality health services. At the same time, we need to take care not to aggravate inequities by inappropriately withdrawing resources from other interventions or other parts of the system. As antiretroviral therapy (ART) is rolled out in the region, it is important to have a comprehensive framework to monitor and evaluate equity in access to HIV / AIDS treatment programmes and to gauge the strength of health systems. The World Health Organization (WHO) and the Regional Network for Equity in Health in east and southern Africa (EQUINET) through REACH Trust Malawi and Training and Research Support Centre (TARSC) developed this review. It provides a practical resource for programme managers, health planning departments, evaluation experts and civil society organizations working on health systems and HIV / AIDS programmes at sub-national, national and regional levels in east and southern Africa. Many of the orientations and tools in this document were developed through a wide consultation process, starting in 2003. We draw on the broader analysis of health equity advanced by EQUINET, as well as evidence from five background studies on equity and health systems impacts of ART programming in east and southern Africa which were supported by EQUINET, TARSC and DFID...

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