wow-inequalities/02-data/intermediate/wos_sample/a416619600cd9c6c5855bea32a6c436c-ooms-gorik-and-kruj/info.yaml

abstract: 'BackgroundThe international community''s health focus is shifting from

  achieving disease-specific targets towards aiming for universal health

  coverage. Integrating the global HIV/AIDS response into universal health

  coverage may be inevitable to secure its achievements in the long run,

  and for expanding these achievements beyond addressing a single disease.

  However, this integration comes at a time when international financial

  support for the global HIV/AIDS response is declining, while political

  support for universal health coverage is not translated into financial

  support. To assess the risks, challenges and opportunities of the

  integration of the global HIV/AIDS response into national universal

  health coverage plans, we carried out assessments in Indonesia, Kenya,

  Uganda and Ukraine, based on key informant interviews with civil

  society, policy-makers and development partners, as well as on a review

  of grey and academic literature.ResultsIn the absence of international

  financial support, governments are turning towards national health

  insurance schemes to finance universal health coverage, making access to

  healthcare contingent on regular financial contributions. It is not

  clear how AIDS treatment will be fit in. While the global HIV/AIDS

  response accords special attention to exclusion due to sexual

  orientation and gender identity, sex work or drug use, efforts to

  achieve universal health coverage focus on exclusion due to poverty,

  gender and geographical inequalities. Policies aiming for universal

  health coverage try to include private healthcare providers in the

  health system, which could create a sustainable framework for civil

  society organisations providing HIV/AIDS-related services. While the

  global HIV/AIDS response insisted on the inclusion of civil society in

  decision-making policies, that is not (yet) the case for policies aiming

  for universal health coverage.DiscussionWhile there are many obstacles

  to successful integration of the global HIV/AIDS response into universal

  health coverage policies, integration seems inevitable and is happening.

  Successful integration will require expanding the principle of shared

  responsibility'' which emerged with the global HIV/AIDS response to

  universal health coverage, rather than relying solely on domestic

  efforts for universal health coverage. The preference for national

  health insurance as the best way to achieve universal health coverage

  should be reconsidered. An alliance between HIV/AIDS advocates and

  proponents of universal health coverage requires mutual condemnation of

  discrimination based on sexual orientation and gender identity, sex work

  or drug use, as well as addressing of exclusion based on poverty and

  other factors. The fulfilment of the promise to include civil society in

  decision-making processes about universal health coverage is long

  overdue.'
affiliation: 'Ooms, G (Corresponding Author), London Sch Hyg \& Trop Med, Dept Global
  Hlth \& Dev, 15-17 Tavistock Pl, London WC1H 9SH, England.

  Ooms, Gorik, London Sch Hyg \& Trop Med, Dept Global Hlth \& Dev, 15-17 Tavistock
  Pl, London WC1H 9SH, England.'
article-number: '41'
author: Ooms, Gorik and Kruja, Krista
author-email: gorik.ooms@lshtm.ac.uk
author_list:
- family: Ooms
  given: Gorik
- family: Kruja
  given: Krista
da: '2023-09-28'
doi: 10.1186/s12992-019-0487-5
eissn: 1744-8603
files: []
journal: GLOBALIZATION AND HEALTH
keywords: Global HIV; AIDS response; Universal health coverage; Integration
keywords-plus: LOW-INCOME; SYSTEMS; COST
language: English
month: JUN 18
number-of-cited-references: '94'
orcid-numbers: 'Ooms, Gorik/0000-0002-9804-0128

  Kruja, Krista/0000-0003-3130-8908'
papis_id: ddcf0ad938eb92306b71f2ba4b29c745
ref: Ooms2019integrationglobal
researcherid-numbers: 'Ooms, Gorik/A-2537-2015

  '
times-cited: '17'
title: 'The integration of the global HIV/AIDS response into universal health coverage:
  desirable, perhaps possible, but far from easy'
type: article
unique-id: WOS:000472053900001
usage-count-last-180-days: '4'
usage-count-since-2013: '16'
volume: '15'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2019'