Sustainability of Nchelenge HIV/AIDS programme in Luapula province of Zambia
Document type: mthesis
Download file(s):
183305 (663 KB)
Abstract:
BACKGROUND: Nchelenge HIV/AIDS programme started as a Home Based Care with emphasis on Information Education and Communication. The programme was parallel to the Ministry of Health (MoH) in the Health Centres. Since March 2001, it evolved into an HIV/AIDS programme integrated in the health system. It was handed over to the MoH in August 2007 by Médecins Sans Frontières (MSF). GENERAL OBJECTIVES: To identify key conditions for maintaining standard of care in terms of quality and quantity in an integrated HIV/AIDS programme in Nchelenge district (Luapula province) and analyse challenges the MoH in Zambia faces to sustain these standards of care, in order to make recommendations regarding the current programme and future hand over of similar programmes by organisation such as MSF. METHODS: A desk review of literature on Nchelenge programme was done. Constraints faced by MSF are highlighted and compared to the MoH capacity to manage activities at the same level of quantity and quality. Comparative studies were reviewed through available literature online; via Pub med. and other online databases. An analysis was made to identify key factors necessitating sustainability in an integrated HIV/AIDS programme. This analysis is made using the World Health Organisation framework on Health system performance. RESULTS: Integrated HIV/AIDS programme increases workload, facilitates health personnel role shifting, require health structure adjustment and is highly dependant on continued financial support and adequate Human Resource (HR) capacity. CONCLUSION: Sustainability of Nchelenge HIV/AIDS programme is possible in the hands of the MoH. It requires both long-term financial support (Government and Donor) and HR to sustain its provision of quality services. A clear country policy is required on the role of community counsellors and there is need to improve the supply system for drug procurement and management.
Authors:
Sitali, N.
Country:
Zambia
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
HIV and AIDS
,
health services
,
sustainable development
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
ix, 47
Year:
2008
Region:
East Africa
Right:
© 2008 Sitali
Subject:
Health and Nutrition
Title:
Sustainability of Nchelenge HIV/AIDS programme in Luapula province of Zambia
Training:
Master in International Health (MIH)