Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria.

ABSTRACT: The transition to PEPFAR 2.0 with its focus on country ownership was accompanied by substantial funding cuts. We describe the impact of this transition on HIV care in a large network of HIV clinics in Nigeria. We surveyed 30 comprehensive HIV treatment clinics to assess services supported before (October 2013-September 2014) and after (October 2014-September 2015) the PEPFAR funding policy change, the impact of these policy changes on service delivery areas, and response of clinics to the change. We compared differences in support for staffing, laboratory services, and clinical operations pre- and post-policy change using paired t-tests. We used framework analysis to assess answers to open ended questions describing responses to the policy change. Most sites (83%, n = 25) completed the sur

SUBMITTER: Banigbe B 

PROVIDER: S-EPMC6760763 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature