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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:The impact of the global economic crisis on HIV and AIDS programmes directed at women and children in Zambia
Editor:Serieux, JohnISNI
Year:2015
Periodical:African Journal of AIDS Research (ISSN 1727-9445)
Volume:14
Issue:2
Pages:95-106
Language:English
Geographic term:Zambia
Subjects:AIDS
health care
women
children
health financing
economic recession
Link:https://doi.org/10.2989/16085906.2015.1040806
Abstract:This investigation sought to ascertain the extent to which the global economic crisis of 2008-2009 affected the delivery of HIV/AIDS-related services directed at pregnant and lactating mothers, children living with HIV and children orphaned through HIV in Zambia. Using a combined macroeconomic analysis and a multiple case study approach, the authors found that from mid-2008 to mid-2009 the Zambian economy was indeed buffeted by the global economic crisis. During that period the case study subjects experienced challenges with respect to the funding, delivery and effectiveness of services that were clearly attributable, directly or indirectly, to the global economic crisis. The source of funding most often compromised was external private flows. The services most often compromised were non-medical services (such as the delivery of assistance to orphans and counselling to HIV-positive mothers) while the more strictly medical services (such as antiretroviral therapy) were protected from funding cuts and service interruptions. Impairments to service effectiveness were experienced relatively equally by (HIV-positive) pregnant women and lactating mothers and children orphaned through HIV. Children living with AIDS were least affected because of the primacy of ARV therapy in their care. Bibliogr., notes, ref., sum. [Journal abstract]
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