The Impact of HIV on Child Health and the Health System

نویسندگان

  • Giovanni Andrea Cornia
  • Mahesh Patel
  • Fabio Zagonari
چکیده

This chapter focuses on the impact the HIV epidemic has had on the health sector and the health status of children in 40 countries with medium to high HIV prevalence. With the rise in prevalence at antenatal clinics reaching 50 per cent (as in some areas of Botswana), and with adult prevalence of over 20 per cent in several parts of Africa, the health sector has been particularly hard hit. It now suffers from attrition of personnel, while at the same time it needs to perform at well above its pre-epidemic levels in order to control the spreading contagion and to care for those affected. In countries with adequate economic growth and low infection rates, increases in health budgets will often be sufficient to cope with the crisis. But in several highly indebted poor countries, where the health sector has been deteriorating since the 1980s, most markedly following the adoption of structural adjustment programmes, infection rates are high (Simms et al. 2000). In most of these countries, HIV has also caused a rapid increase in the demand for hospital-based treatment, which has led to weakening of health care at the primary level. How to control the negative effect of HIV, without weakening other essential interventions, is the main health sector challenge faced by the policymakers of many lowand middle-income countries.

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تاریخ انتشار 2007