President Obama committed to developing a National HIV/AIDS Strategy with three primary goals:
Reducing the number of people who become infected with HIV;
Increasing access to care and optimizing health outcomes for people living with HIV; and,
Reducing HIV-related health disparities.
Announced July 13, 2010.
University of Alabama at Birmingham (UAB) research published at PLoS One July 13, 2010.
“Integration involved three key modifications: i) amalgamation of space and patient flow; ii) standardization of medical records and iii) introduction of routine provider initiated testing and counseling (PITC). Assessment of feasibility included monitoring rates of HIV case-finding and referral to care, measuring median waiting and consultation times and assessing adherence to clinical care protocols for HIV and non-HIV outpatients. Qualitative data on patient/provider perceptions was also collected.”
Integrating vertical ART and OPD services is feasible in the low-resource and high HIV-prevalence setting of Lusaka, Zambia. Integration enabled shared use of space and staffing that resulted in increased HIV case finding, a reduction in stigma associated with vertical ART services but resulted in an overall increase in patient waiting times. Further research is urgently required to assess long-term clinical outcomes and cost effectiveness in order to evaluate scalability and generalizability.
Strengthening Health Systems at Facility-Level: Feasibility of Integrating Antiretroviral Therapy into Primary Health Care Services in Lusaka, Zambia
Stephanie M. Topp 1,2, Julien M. Chipukuma 1, Mark Giganti 1,2, Linah K. Mwango 1, Like M. Chiko 3, Bushimbwa Tambatamba-Chapula 4, Chibesa S. Wamulume 3, Stewart Reid 1,2
1 Centre for Infectious Disease Research in Zambia, Lusaka, Zambia,
2 Schools of Medicine and Public Health, University of Alabama, Birmingham, Alabama, United States of America,
3 Lusaka District Health Management Team, Lusaka, Zambia,
4 Ministry of Health, Lusaka, Zambia
Citation: Topp SM, Chipukuma JM, Giganti M, Mwango LK, Chiko LM, et al. (2010) Strengthening Health Systems at Facility-Level: Feasibility of Integrating Antiretroviral Therapy into Primary Health Care Services in Lusaka, Zambia. PLoS ONE 5(7): e11522. doi:10.1371/journal.pone.0011522
There is a substantial similarity in President Obama’s “new” HIV/AIDS strategy and work already done and ongoing by UAB researchers.
More evidence on which this conclusion is based can be seen at: