Beyond cost-effectiveness, morbidity and mortality: a comprehensive evaluation of priority setting for HIV programming in Uganda.

Abstract:

BACKGROUND:While there has been progress in controlling the HIV epidemic, HIV still remains a disease of global concern. Some of the progress has been attributed to increased public awareness and uptake of public health interventions, as well as increased access to anti- retroviral treatment and the prevention of vertical HIV transmission. These interventions would not have been possible without substantial investments in HIV programs. However, donor fatigue introduces the need for low income countries to maximize the benefits of the available resources. This necessitates identification of priorities that should be funded. Evaluating prioritization processes would enable decision makers to assess the effectiveness of their processes, thereby designing intervention strategies. To date most evaluations have focused on cost-benefit analyses, which overlooks additional critical impacts of priority setting decisions. Kapiriri & Martin (2010) developed and validated a comprehensive framework for evaluating PS in low income countries. The objective of this paper report findings from a comprehensive evaluation of priority setting for HIV in Uganda, using the framework; and to identify lessons of good practice and areas for improvement. METHODS:This was a qualitative study based on forty interviews with decision makers and policy document review. Data were analysed using INVIVO 10, and based on the parameters in Kapiriri et al's evaluation framework. RESULTS:We found that HIV enjoys political support, which contributes to the availability of resources, strong planning institutions, and participatory prioritization process based on some criteria. Some of the identified limitations included; undue donor and political influence, priorities not being publicized, and lack of mechanisms for appealing the decisions. HIV prioritization had both positive and negative impacts on the health system. CONCLUSIONS:The framework facilitated a more comprehensive evaluation of HIV priority setting. While there were successful areas, the process could be strengthened by minimizing undue influence of external actors, and support the legitimate institutions to set priorities and implement them. These should also institute mechanisms for publicizing the decisions, appeals and increased accountability. While this paper looked at HIV, the framework is flexible enough to be used in evaluating priority setting for other health programs within similar context.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Kapiriri L,Lee NM,Wallace LJ,Kwesiga B

doi

10.1186/s12889-019-6690-8

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

359

issue

1

issn

1471-2458

pii

10.1186/s12889-019-6690-8

journal_volume

19

pub_type

杂志文章
  • Weight gain and smoking: perceptions and experiences of obese quitline participants.

    abstract:BACKGROUND:Weight gain that commonly accompanies smoking cessation can undermine a person's attempt to quit and increase the risk for metabolic disorders. Research indicates that obese smokers have more weight concerns and gain more weight after quitting than non-obese smokers, yet little is known about possible reason...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1229

    authors: Bush T,Hsu C,Levine MD,Magnusson B,Miles L

    更新日期:2014-11-27 00:00:00

  • HIV testing within general practices in Europe: a mixed-methods systematic review.

    abstract:BACKGROUND:Late diagnosis of HIV infection remains a key challenge in Europe. It is acknowledged that general practitioners (GPs) may contribute greatly to early case finding, yet there is evidence that many diagnostic opportunities are being missed. To further promote HIV testing in primary care and to increase the ut...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/s12889-018-6107-0

    authors: Deblonde J,Van Beckhoven D,Loos J,Boffin N,Sasse A,Nöstlinger C,Supervie V,HERMETIC Study Group.

    更新日期:2018-10-22 00:00:00

  • Prevalence of modifiable cardiovascular risk factors in Yazd inner-city municipalities.

    abstract:BACKGROUND:Cardiovascular disease (CVD) is the leading cause of death in the world. With effective intervention and control of cardiovascular risk factors, mortality rates may be reduced. The aim of this study was to investigate the prevalence of modifiable risk factors across five municipalities in Yazd city. METHODS...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-8217-8

    authors: Mirzaei M,Mirzaei M,Sarsangi AR,Bagheri N

    更新日期:2020-01-30 00:00:00

  • Health-related quality of life in diabetic people with different vascular risk.

    abstract:BACKGROUND:The number of papers on the health related quality of life of patients with DM has grown in recent years but fewer studies have drawn comparisons between diabetic persons and the general population considering different risk groups. The aim of this study is to examine health related quality of life (HRQOL) i...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-812

    authors: Oliva J,Fernández-Bolaños A,Hidalgo A

    更新日期:2012-09-20 00:00:00

  • Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis.

    abstract:BACKGROUND:Although the number of studies examining the relationships between sedentary behaviors (SB) and anxiety is growing, an overarching evidence, taking into account children, adolescents, and adults as well as different types of SB and different categories of anxiety outcomes, is still missing. Thus, this system...

    journal_title:BMC public health

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12889-019-6715-3

    authors: Stanczykiewicz B,Banik A,Knoll N,Keller J,Hohl DH,Rosińczuk J,Luszczynska A

    更新日期:2019-04-30 00:00:00

  • Cigarette, waterpipe and e-cigarette use among an international sample of medical students. Cross-sectional multicenter study in Germany and Hungary.

    abstract:BACKGROUND:Tobacco use is the leading preventable cause of death worldwide. Besides cigarette smoking, waterpipe and e-cigarettes are gaining popularity among young adults. Medical students' smoking behavior is of particular interest because of their impending role in health promotion as future physicians. Aim of our s...

    journal_title:BMC public health

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12889-018-5494-6

    authors: Balogh E,Faubl N,Riemenschneider H,Balázs P,Bergmann A,Cseh K,Horváth F,Schelling J,Terebessy A,Wagner Z,Voigt K,Füzesi Z,Kiss I

    更新日期:2018-05-03 00:00:00

  • Population mortality during the outbreak of Severe Acute Respiratory Syndrome in Toronto.

    abstract:BACKGROUND:Extraordinary infection control measures limited access to medical care in the Greater Toronto Area during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak. The objective of this study was to determine if the period of these infection control measures was associated with changes in overall populati...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-7-93

    authors: Hwang SW,Cheung AM,Moineddin R,Bell CM

    更新日期:2007-05-29 00:00:00

  • Food consumption and undernutrition variations among mothers during the post-harvest and lean seasons in Amoron'i Mania Region, Madagascar.

    abstract:BACKGROUND:Seasonal variation affects nutrition particularly in contexts where people's food consumption depends on their production of food. Assessing the effect of the season on nutrition status can help us to identify strategies to address undernutrition. This study aims to measure the variations in food consumption...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7333-9

    authors: Ravaoarisoa L,Rakotonirina J,Randriamanantsaina L,de Dieu Marie Rakotomanga J,Dramaix MW,Donnen P

    更新日期:2019-07-26 00:00:00

  • The socio-environmental determinants of railway suicide: a systematic review.

    abstract:BACKGROUND:Railway suicide has significant adverse impacts for the victims, their family and friends, witnesses to the incident, general public and train network. There is no previous review on the socio-environmental factors and railway suicide. The research question asked in this review was: 'What socio-environmental...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2458-14-20

    authors: Too LS,Milner A,Bugeja L,McClure R

    更新日期:2014-01-10 00:00:00

  • Diabetes in US women on the rise independent of increasing BMI and other risk factors; a trend investigation of serial cross-sections.

    abstract:BACKGROUND:The epidemic of diabetes continues leaving an enormous and growing burden of chronic disease to public health. This study investigates this growing burden of diabetes independent of increasing BMI in a large population based female sample, 2006-2010. METHODS:Serial cross-sectional data using the Behavioral ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-954

    authors: Ibe A,Smith TC

    更新日期:2014-09-15 00:00:00

  • Mortality on extreme heat days using official thresholds in Spain: a multi-city time series analysis.

    abstract:BACKGROUND:The 2003 heat wave had a high impact on mortality in Europe, which made necessary to develop heat health watch warning systems. In Spain this was carried-out by the Ministry of Health in 2004, being based on exceeding of city-specific simultaneous thresholds of minimum and maximum daily temperatures. The aim...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-133

    authors: Tobias A,Armstrong B,Zuza I,Gasparrini A,Linares C,Diaz J

    更新日期:2012-02-17 00:00:00

  • How do national cultures influence lay people's preferences toward doctors' style of communication? A comparison of 35 focus groups from an European cross national research.

    abstract:BACKGROUND:The evidence that inspires and fosters communication skills, teaching programmes and clinical recommendations are often based on national studies which assume, implicitly, that patients' preferences towards doctors' communication style are not significantly affected by their cultural background. The cross-cu...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2559-7

    authors: Rimondini M,Mazzi MA,Deveugele M,Bensing JM

    更新日期:2015-12-14 00:00:00

  • Piloting an acceptable and feasible menstrual hygiene products disposal system in urban and rural schools in Bangladesh.

    abstract:BACKGROUND:Access to washroom facilities and a place to dispose of menstrual waste are prerequisites for optimal menstrual hygiene management in schools. Like other low- and middle-income countries, Bangladeshi schools lack facilities for girls to change and dispose of their menstrual absorbents. We explored existing s...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09413-x

    authors: Jahan F,Nuruzzaman M,Sultana F,Mahfuz MT,Rahman M,Akhand F,Luby SP,Unicomb L,Winch PJ

    更新日期:2020-09-07 00:00:00

  • The PrEPARE Pretoria Project: protocol for a cluster-randomized factorial-design trial to prevent HIV with PrEP among adolescent girls and young women in Tshwane, South Africa.

    abstract:BACKGROUND:Despite increased prevention efforts, HIV remains the leading cause of death among adolescent girls and young women in South Africa. Although research indicates important determinants of HIV acquisition at the individual and interpersonal levels, structural-level stigma and discrimination continue to be crit...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09458-y

    authors: Wechsberg WM,Browne FA,Ndirangu J,Bonner CP,Minnis AM,Nyblade L,Speizer IS,Howard BN,Myers B,Ahmed K

    更新日期:2020-09-15 00:00:00

  • Receipt of evidence-based brief cessation interventions by health professionals and use of cessation assisted treatments among current adult cigarette-only smokers: National Adult Tobacco Survey, 2009-2010.

    abstract:BACKGROUND:Helping tobacco smokers to quit during a medical visit is a clinical and public health priority. Research suggests that most health professionals engage their patients in at least some of the '5 A's' of the brief cessation intervention recommended in the U.S. Public Health Service Clinical Practice Guideline...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-016-2798-2

    authors: Kruger J,O'Halloran A,Rosenthal AC,Babb SD,Fiore MC

    更新日期:2016-02-11 00:00:00

  • Medicines and the media: news reports of medicines recommended for government reimbursement in Australia.

    abstract:BACKGROUND:Previous analyses of the listings of trastuzumab on the Australian Pharmaceutical Benefits Scheme (PBS) and HPV vaccine on the National Immunisation Program (NIP) suggest a media influence on policy makers. We examined the timing and content of Australian newspaper reports of medicines in relation to Pharmac...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-489

    authors: Robertson J,Walkom EJ,Bevan MD,Newby DA

    更新日期:2013-05-21 00:00:00

  • Comparison of two statistical indicators in communicating epidemiological results to the population: a randomized study in a high environmental risk area of Italy.

    abstract:BACKGROUND:When communicating risks to the general population, the format of the epidemiological results may affect individual reactions. In environmental epidemiology, no study has compared the use of different statistical formats in communicating results to the population. The aim of this paper is to investigate whet...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-019-7003-y

    authors: Baccini M,Ghirardi L,Farinella D,Biggeri A

    更新日期:2019-06-11 00:00:00

  • Patterns of condom use and associated factors among adult HIV positive clients in North Western Ethiopia: a comparative cross sectional study.

    abstract:BACKGROUND:The introduction of antiretroviral therapy (ART) has sharply decreased morbidity and mortality rates among HIV infected patients. Due to this, more and more people with HIV live longer and healthier lives. Yet if they practice sex without condom, those with high viral load have the potential to infect their ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-308

    authors: Yalew E,Zegeye DT,Meseret S

    更新日期:2012-04-26 00:00:00

  • The value of facial attractiveness for encouraging fruit and vegetable consumption: analyses from a randomized controlled trial.

    abstract:BACKGROUND:An effect of increased fruit and vegetable (FV) consumption on facial attractiveness has been proposed and recommended as a strategy to promote FV intakes, but no studies to date demonstrate a causal link between FV consumption and perceived attractiveness. This study investigated perceptions of attractivene...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-018-5202-6

    authors: Appleton KM,McGrath AJ,McKinley MC,Draffin CR,Hamill LL,Young IS,Woodside JV

    更新日期:2018-03-01 00:00:00

  • A cohort study to define the age-specific incidence and risk factors of Shigella diarrhoeal infections in Vietnamese children: a study protocol.

    abstract:BACKGROUND:Shigella spp. are one of the most common causes of paediatric dysentery globally, responsible for a substantial proportion of diarrhoeal disease morbidity and mortality, particularly in industrialising regions. Alarming levels of antimicrobial resistance are now reported in S. flexneri and S. sonnei, hamperi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1289

    authors: Thompson CN,Anders KL,Nhi le TQ,Tuyen HT,Van Minh P,Tu le TP,Nhu Tdo H,Nhan NT,Ly TT,Duong VT,Vi LL,Van Thuy NT,Hieu NT,Van Chau NV,Campbell JI,Thwaites G,Simmons C,Baker S

    更新日期:2014-12-17 00:00:00

  • Community-based maternal, newborn, and child health surveillance: perceptions and attitudes of local stakeholders towards using mobile phone by village health volunteers in the Kenge Health Zone, Democratic Republic of Congo.

    abstract:BACKGROUND:In early 2016, we implemented a community-based maternal, newborn, and child health (MNCH) surveillance using mobile phones to collect, analyze, and use data by village health volunteers (VHV) in Kenge Health Zone (KHZ), in the Democratic Republic of Congo (DRC). The objective of this study was to determine ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-018-5186-2

    authors: Diese M,Kalonji A,Izale B,Villeneuve S,Kintaudi NM,Clarysse G,Ngongo N,Ntambue AM

    更新日期:2018-03-05 00:00:00

  • Associations of internet access with social integration, wellbeing and physical activity among adults in deprived communities: evidence from a household survey.

    abstract:BACKGROUND:There are arguments for and against the wellbeing effects of internet use, with evidence shifting from negative to positive over time, although the effects are partly dependent upon the population sub-group concerned. There are good grounds for anticipating that the internet could be beneficial to people liv...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7199-x

    authors: Kearns A,Whitley E

    更新日期:2019-07-02 00:00:00

  • Integrating a family-focused approach into child obesity prevention: rationale and design for the My Parenting SOS study randomized control trial.

    abstract:BACKGROUND:More than 20% of US children ages 2-5 yrs are classified as overweight or obese. Parents greatly influence the behaviors their children adopt, including those which impact weight (e.g., diet and physical activity). Unfortunately, parents often fail to recognize the risk for excess weight gain in young childr...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2458-11-431

    authors: Ward DS,Vaughn AE,Bangdiwala KI,Campbell M,Jones DJ,Panter AT,Stevens J

    更新日期:2011-06-05 00:00:00

  • Rapid point-of-care CD4 testing at mobile units and linkage to HIV care: an evaluation of community-based mobile HIV testing services in South Africa.

    abstract:BACKGROUND:Mobile HIV testing services (HTS) are effective at reaching undiagnosed people living with HIV. However, linkage to HIV care from mobile HTS is often poor, ranging from 10 to 60%. Point-of-care (POC) CD4 testing has shown to increase retention in health facilities, but little evidence exists about their use ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08643-3

    authors: Sloot R,Glenshaw MT,van Niekerk M,Meehan SA

    更新日期:2020-04-19 00:00:00

  • Factors associated with parental smoking in the presence of school-aged children: a cross-sectional study.

    abstract:BACKGROUND:In 2009, the Tobacco Hazards Prevention Act (Taiwan) was amended to more effectively restrict smoking in indoor public places and workplaces in Taiwan. However, the lack of prohibitions for smoking in private homes may place family members at increased risk for exposure to environmental tobacco smoke (ETS). ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-819

    authors: Liao YM,Chen YT,Kuo LC,Chen PL

    更新日期:2013-09-10 00:00:00

  • Full vaccination coverage among children aged 12-23 months in Ethiopia: a systematic review and meta-analysis.

    abstract:BACKGROUND:Vaccination is one of the most cost-effective means of public health interventions to prevent childhood deaths from infectious diseases. Although several fragmented studies have been conducted concerning full vaccination coverage among children aged 12-23 months in Ethiopia, the pooled estimate has not been ...

    journal_title:BMC public health

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12889-020-08940-x

    authors: Ketema DB,Assemie MA,Alamneh AA,Alene M,Chane KY,Alamneh YM,Birhanu MY,Alebel A

    更新日期:2020-05-24 00:00:00

  • The use of advanced medical technologies at home: a systematic review of the literature.

    abstract:BACKGROUND:The number of medical technologies used in home settings has increased substantially over the last 10-15 years. In order to manage their use and to guarantee quality and safety, data on usage trends and practical experiences are important. This paper presents a literature review on types, trends and experien...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/s12889-018-5123-4

    authors: Ten Haken I,Ben Allouch S,van Harten WH

    更新日期:2018-02-26 00:00:00

  • Factors behind healthy snack consumption at school among high-school students: a qualitative study.

    abstract:BACKGROUND:The prevalence of consuming fast foods and non-nutritious snacks is progressively increasing among adolescents. This study aimed to explore factors behind snack consumption at school among Iranian high-school students. METHODS:This descriptive qualitative study was conducted in 2017 in four boys' and four g...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7656-6

    authors: Bastami F,Zamani-Alavijeh F,Mostafavi F

    更新日期:2019-10-22 00:00:00

  • Psychiatric disorders and urbanization in Germany.

    abstract:BACKGROUND:Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German populati...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-8-17

    authors: Dekker J,Peen J,Koelen J,Smit F,Schoevers R

    更新日期:2008-01-17 00:00:00

  • A randomised controlled trial of a program based on the theory of planned behavior to promote fruit and vegetable intake among schoolchildren: PROFRUVE study protocol.

    abstract:BACKGROUND:The PROFRUVE study is a controlled intervention based on the Theory of Planned Behavior (TPB), which follows those behavioral theories that have proved to be the most effective at changing infant fruit and vegetable (FV) intake pattern. The main purpose of the study is to evaluate the effectiveness of an int...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-018-5748-3

    authors: Arrizabalaga-López M,Rada-Fernández de Jáuregui D,Portillo MP,Martínez O,Etaio I,Mauleón JR,Echevarría E,Gómez F,Rodríguez VM

    更新日期:2018-07-04 00:00:00