The New HIV/AIDS Program in Peru : The Role of Prioritizing and Budgeting for Results
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World Bank Group, Washington, DC
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This study aims to evaluate and develop recommendations on how the HIV/AIDS program in Peru can achieve better Value for Money. In Peru, the HIV epidemic concentrates mostly among men who have sex with men (MSM), with AIDS being the first cause of death for men ages 30-49 in 2010 and the second cause of death for women aged 25-34 (BOD, 2013). UNAIDS (2013) estimates there were 76,000 people living with HIV/AIDS (PLWA) in 2012, and this study estimates 67,000 PLWA in 2013. The Ministry of Health reports that 27,502 PLWA currently receive ART, a 43-48 percent coverage of eligible people, and 66 percent coverage of all diagnosed eligible individuals (WHO, 2013 guidelines).
In 2011, there was a transition from international to domestic public funding, which increased from US$17.7 million in 2005-10 to US$57.8 million in 2011-13. The main achievements of the Peru HIV/AIDS program to date include: (i) collaboration with NGOs to provide ART; (ii) free provision of ART; (iii) educating poor women on mother to child HIV transmission; and (iv) access to reduced ARV prices through the PAHO Drug Fund. Major challenges include: (i) limited testing and laboratory capacity in the provinces; (ii) less than half of the budget is allocated to high-risk groups; (iii) wage bill issued by other programs and; (iv) limited number of community health workers (CHWs) for IEC.
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ACCESS TO CARE, ACCESS TO HEALTH CARE, ACQUIRED IMMUNE DEFICIENCY SYNDROME, ADOLESCENTS, AGED, AIDS CASE, AIDS CASES, AIDS DEATHS, AIDS HEALTH, AIDS PATIENTS, ALLOCATION OF RESOURCES, ANTENATAL CARE, ART THERAPY, BABIES, BABY, BEHAVIORAL CHANGE, BEHAVIORAL INTERVENTIONS, BIRTH RATE, BURDEN OF DISEASE, C-SECTION, C-SECTIONS, CASE OF AIDS, CASES OF AIDS, CELL COUNT, CHILDBEARING, CHRONIC DISEASE, CIVIL SOCIETY ORGANIZATIONS, CLINICAL TRIALS, COMMUNITY HEALTH, CONDOM, CONDOM DISTRIBUTION, CONDOM USE, CONDOMS, COST EFFECTIVENESS, DELIVERY COSTS, DIAGNOSES, DIAGNOSIS, DISEASE BURDEN, DRUG THERAPY, DRUG TRAFFICKING, DRUGS, EDUCATIONAL ACTIVITIES, EPIDEMIC, EPIDEMICS, EPIDEMIOLOGY, FAMILY HEALTH, FASHION, FATHER, FEMALE, FEMALE SEX WORKERS, FEMALES, FETUS, FORMAL EDUCATION, GLOBAL HIV/AIDS, GROSS NATIONAL INCOME, HEALTH CARE, HEALTH CARE SERVICES, HEALTH CENTERS, HEALTH EDUCATION, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SYSTEM, HEALTH WORKERS, HEALTHY LIFE, HETEROSEXUAL INTERCOURSE, HIGH RISK GROUPS, HIGH-RISK GROUPS, HIV, HIV INFECTION, HIV INFECTIONS, HIV POSITIVE, HIV PREVENTION, HIV TESTING, HIV TRANSMISSION, HIV/AIDS, HOMOSEXUALS, HOSPITAL, HOSPITAL DISCHARGE, HOSPITALS, HUMAN DEVELOPMENT, HUMAN RIGHTS, IMMUNE DEFICIENCY, INFECTION AMONG WOMEN, INFECTION RATE, INFORMATION SERVICES, INFORMATION SYSTEM, INFORMATION SYSTEMS, INTERNATIONAL COOPERATION, INTERNATIONAL ORGANIZATIONS, INTERNATIONAL PROGRAMS, INTERVENTION, LABORATORY SERVICES, LABORATORY TESTING, LEADING CAUSES, LEADING CAUSES OF MORTALITY, LIMITED RESOURCES, LOCAL AUTHORITIES, LOW PREVALENCE, MALARIA, MALE ADOLESCENTS, MALE SEX, MASS MEDIA, MEDICINES, MINISTRY OF HEALTH, MORTALITY, MOTHER, MOTHER TO CHILD, MOTHER TO CHILD HIV TRANSMISSION, MOTHER TO CHILD TRANSMISSION, MOTHER-TO-CHILD, MOTHER-TO-CHILD TRANSMISSION, MOTHERS, MULTIPLE PARTNERS, NATIONAL POLICY, NATIONAL STRATEGY, NEW CASES, NEW INFECTIONS, NEWBORN, NUMBER OF AIDS DEATHS, NUMBER OF CHILDREN, NUMBER OF DEATHS, NUMBER OF NEW INFECTIONS, NUMBER OF PEOPLE, NUMBER OF WOMEN, NUTRITION, ORPHAN, ORPHAN CHILDREN, ORPHANS, PATIENT, PATIENTS, PEER EDUCATION, PEOPLE LIVING WITH AIDS, PHARMACEUTICAL COMPANIES, POPULATION PROJECTIONS, POPULATION SECTOR, PREGNANCY, PREGNANT WOMAN, PREGNANT WOMEN, PREMATURE DEATH, PREVENTION STRATEGIES, PREVENTIVE ACTIONS, PREVENTIVE ACTIVITIES, PROGRESS, PROMOTION OF CONDOM USE, PROPHYLAXIS, PUBLIC HEALTH, PUBLIC POLICY, QUALITY CONTROL, RATES OF INFECTION, REPRODUCTIVE HEALTH, RESEARCH CENTERS, RESEARCH COMMUNITIES, RESISTANT TUBERCULOSIS, RESOURCE ALLOCATION, RISK BEHAVIORS, RISK GROUPS, RISK POPULATIONS, SAFE BEHAVIORS, SCREENING, SERVICE DELIVERY, SEX EDUCATION, SEX WITH MEN, SEX WORKER, SEX WORKERS, SEXUAL ACTIVITY, SEXUAL CONTACT, SEXUAL EDUCATION, SEXUAL EXPLOITATION, SEXUAL INITIATION, SEXUALITY, SEXUALLY TRANSMITTED DISEASE, SEXUALLY TRANSMITTED DISEASES, SEXUALLY TRANSMITTED INFECTIONS, SOCIAL SECURITY, SOCIAL SERVICES, SOCIOECONOMIC STATUS, SPECIALIST, STD, STDS, STIS, TB, TECHNICAL ASSISTANCE, TEENS, TREATMENT, TREATMENT SERVICES, TUBERCULOSIS, UNAIDS, URBAN AREAS, URBAN CENTERS, VERTICAL TRANSMISSION, VIRAL LOAD, VIRUS, VULNERABILITY, VULNERABLE GROUPS, WOMEN OF CHILDBEARING AGE, WORKERS, WORLD HEALTH ORGANIZATION, YOUNG ADULTS, YOUNG PEOPLE, YOUTH