Rapid scale-up of antiretroviral treatment in Ethiopia:: successes and system-wide effects

Yibeltal Assefa; Degu Jerene; Sileshi Lulseged; Gorik Ooms; Wim Van Damme

doi:10.1371/journal.pmed.1000056

Rapid scale-up of antiretroviral treatment in Ethiopia: successes and system-wide effects

Yibeltal Assefa, Degu Jerene, Sileshi Lulseged, Gorik Ooms, Wim Van Damme

Research output: Contribution to journal › Article › peer-review

Abstract

There has been substantial expansion of access to ART and HIV counseling and testing in Ethiopia, whilst maintaining the performance of other health programs such as tuberculosis and maternal and child health services.
Task shifting to the health officers, nurses, and health extension workers is thought to be responsible for these successes.
However, HIV prevention interventions and management of chronic care patients are lagging behind. This may be due to lack of attention to these health care areas and to physicians leaving the public sector for NGOs, including AIDS-related NGOs.
Prevention of HIV infection, retention of patients in chronic care, and retention of physicians in the public sector need urgent attention for effective and sustainable HIV/AIDS and health systems responses in the long term.

Original language	English
Article number	e1000056
Number of pages	4
Journal	PLoS Medicine
Volume	6
Issue number	4
DOIs	https://doi.org/10.1371/journal.pmed.1000056
Publication status	Published - 2009 Apr 28
Externally published	Yes

Subject classification (UKÄ)

Public Health, Global Health, Social Medicine and Epidemiology

Free keywords

Anti-Retroviral Agents/therapeutic use
Counseling
Ethiopia
HIV Infections/drug therapy
Humans
Preventive Health Services
Public Health
Workforce

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pmed.1000056

Cite this

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abstract = " There has been substantial expansion of access to ART and HIV counseling and testing in Ethiopia, whilst maintaining the performance of other health programs such as tuberculosis and maternal and child health services. Task shifting to the health officers, nurses, and health extension workers is thought to be responsible for these successes. However, HIV prevention interventions and management of chronic care patients are lagging behind. This may be due to lack of attention to these health care areas and to physicians leaving the public sector for NGOs, including AIDS-related NGOs. Prevention of HIV infection, retention of patients in chronic care, and retention of physicians in the public sector need urgent attention for effective and sustainable HIV/AIDS and health systems responses in the long term.",

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AU - Van Damme, Wim

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AB - There has been substantial expansion of access to ART and HIV counseling and testing in Ethiopia, whilst maintaining the performance of other health programs such as tuberculosis and maternal and child health services. Task shifting to the health officers, nurses, and health extension workers is thought to be responsible for these successes. However, HIV prevention interventions and management of chronic care patients are lagging behind. This may be due to lack of attention to these health care areas and to physicians leaving the public sector for NGOs, including AIDS-related NGOs. Prevention of HIV infection, retention of patients in chronic care, and retention of physicians in the public sector need urgent attention for effective and sustainable HIV/AIDS and health systems responses in the long term.

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