125 lines
4.2 KiB
YAML
125 lines
4.2 KiB
YAML
abstract: 'BackgroundThe international community''s health focus is shifting from
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achieving disease-specific targets towards aiming for universal health
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coverage. Integrating the global HIV/AIDS response into universal health
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coverage may be inevitable to secure its achievements in the long run,
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and for expanding these achievements beyond addressing a single disease.
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However, this integration comes at a time when international financial
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support for the global HIV/AIDS response is declining, while political
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support for universal health coverage is not translated into financial
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support. To assess the risks, challenges and opportunities of the
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integration of the global HIV/AIDS response into national universal
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health coverage plans, we carried out assessments in Indonesia, Kenya,
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Uganda and Ukraine, based on key informant interviews with civil
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society, policy-makers and development partners, as well as on a review
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of grey and academic literature.ResultsIn the absence of international
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financial support, governments are turning towards national health
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insurance schemes to finance universal health coverage, making access to
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healthcare contingent on regular financial contributions. It is not
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clear how AIDS treatment will be fit in. While the global HIV/AIDS
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response accords special attention to exclusion due to sexual
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orientation and gender identity, sex work or drug use, efforts to
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achieve universal health coverage focus on exclusion due to poverty,
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gender and geographical inequalities. Policies aiming for universal
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health coverage try to include private healthcare providers in the
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health system, which could create a sustainable framework for civil
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society organisations providing HIV/AIDS-related services. While the
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global HIV/AIDS response insisted on the inclusion of civil society in
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decision-making policies, that is not (yet) the case for policies aiming
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for universal health coverage.DiscussionWhile there are many obstacles
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to successful integration of the global HIV/AIDS response into universal
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health coverage policies, integration seems inevitable and is happening.
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Successful integration will require expanding the principle of shared
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responsibility'' which emerged with the global HIV/AIDS response to
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universal health coverage, rather than relying solely on domestic
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efforts for universal health coverage. The preference for national
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health insurance as the best way to achieve universal health coverage
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should be reconsidered. An alliance between HIV/AIDS advocates and
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proponents of universal health coverage requires mutual condemnation of
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discrimination based on sexual orientation and gender identity, sex work
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or drug use, as well as addressing of exclusion based on poverty and
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other factors. The fulfilment of the promise to include civil society in
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decision-making processes about universal health coverage is long
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overdue.'
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affiliation: 'Ooms, G (Corresponding Author), London Sch Hyg \& Trop Med, Dept Global
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Hlth \& Dev, 15-17 Tavistock Pl, London WC1H 9SH, England.
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Ooms, Gorik, London Sch Hyg \& Trop Med, Dept Global Hlth \& Dev, 15-17 Tavistock
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Pl, London WC1H 9SH, England.'
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article-number: '41'
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author: Ooms, Gorik and Kruja, Krista
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author-email: gorik.ooms@lshtm.ac.uk
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author_list:
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- family: Ooms
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given: Gorik
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- family: Kruja
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given: Krista
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da: '2023-09-28'
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doi: 10.1186/s12992-019-0487-5
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eissn: 1744-8603
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files: []
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journal: GLOBALIZATION AND HEALTH
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keywords: Global HIV; AIDS response; Universal health coverage; Integration
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keywords-plus: LOW-INCOME; SYSTEMS; COST
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language: English
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month: JUN 18
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number-of-cited-references: '94'
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orcid-numbers: 'Ooms, Gorik/0000-0002-9804-0128
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Kruja, Krista/0000-0003-3130-8908'
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papis_id: ddcf0ad938eb92306b71f2ba4b29c745
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ref: Ooms2019integrationglobal
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researcherid-numbers: 'Ooms, Gorik/A-2537-2015
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'
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times-cited: '17'
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title: 'The integration of the global HIV/AIDS response into universal health coverage:
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desirable, perhaps possible, but far from easy'
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type: article
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unique-id: WOS:000472053900001
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usage-count-last-180-days: '4'
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usage-count-since-2013: '16'
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volume: '15'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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