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

125 lines
4.2 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
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'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
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'