Table 1 Key aspects of context and responses to the three diseases
Health condition | Presence of international financial support | Funding from the Peruvian National Treasury | Networks and mobilization | National policy documents and official status of community participation |
|---|---|---|---|---|
HIV/AIDS | Global Fund Projects. Until 2006 funding included prevention and treatment, and later it focused only on prevention and multisectoral work. | National Treasury (public funding) covers cost of treatment, as mandated by law. | A strong global movement. Peruvian movements existed before the emergence of GFATM, and became involved in governance & implementation | National Multisectoral Strategic Plan (PEM); National HIV/STI Strategy Guidelines. Community participation is defined in official documents. |
Tuberculosis | Global Fund Projects mainly focused on prevention and multisectoral work and multi-drug-resistant TB treatment. | National Treasury (public funding) covers cost of treatment, as mandated by law; difficulties with multi-drug-resistant TB. | No significant mobilization around the world. A few associations borne in Peru before Global Fund. | National Multisectoral Strategic Plan (PEM);National TB Strategy Guidelines. Community participation is defined in official documents. |
Cancer | Some private financial support to ensure access to treatment. Then, only international clinical trials of the pharmaceutical industry. | Part of the treatment cost covered by the national health insurance when patients are poor and lack social or private insurance. Otherwise treatment cost covered by patients or supported by charity. | Movements around the world for prevention and/or early screening. No unified movement exists here; only early patient groups (INEN) & 1 NGO (Esperantra) | No specific documents about social participation in cancer. However a Strategic Plan to enhance Cancer Prevention and Control was formulated for 2006–2016 with limited implementation. |