Table 1 Global Health Delivery HIV case, VMMC case studies*
From: From scaling up to sustainability in HIV: potential lessons for moving forward
Case title | Region | Primary sector | Type of scale-up | Storyline |
|---|---|---|---|---|
Treating HIV in Kenya: the Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH) | East Africa | Private | Quantitative, functional | Academic partnership between Indiana U. and Kenyan U. leads to primary care and soon large-scale HIV/AIDS treatment in Kenya. |
The AIDS Support Organization (TASO) of Uganda | East Africa | Private | Quantitative | HIV/AIDS support organization in Uganda scales up, offers treatment, and quickly expands number of sites/clinics offering services at the request of the government. |
Botswana’s Program for Preventing Mother-to-Child HIV Transmission | Southern Africa | Public | Quantitative | Botswana implements a national PMTCT program and finds unforeseen challenges. |
Iran's Triangular Clinic | Middle East | Public | Quantitative | An innovative HIV/AIDS harm reduction clinic in Kermanshah Province, Iran, overcomes cultural hurdles to offer support, prevention, and treatment and is replicated in prisons before being scaled up nationally. |
HIV in Thailand: The 100% Condom Program | Southeast Asia | Public | Quantitative, political | A regional Ministry of Health director implements a policy mandating that commercial sex workers use condoms and gets all regional stakeholders on board before considering scale-up. |
HIV Voluntary Counseling and Testing in Hinche, Haiti | Caribbean | Private | Quantitative | A nongovernmental organization (NGO) offering health care in one area of Haiti is asked to help rejuvenate voluntary counseling and services at a poorly functioning government site in another area of the country. |
HIV Care in Rwanda | East Africa | Private | Quantitative, functional | The Rwandan Ministry of Health invites an NGO to assume responsibility for health care services and create an HIV program in two districts before considering national scale-up. |
HIV/AIDS in Brazil: Delivering Prevention in a Decentralized Health System | South America | Public | Quantitative, political | Brazil scales up its response to HIV via a human rights framework, cooperating with civil society. |
loveLife**: Preventing HIV Among South African Youth | Southern Africa | Private | Quantitative, organizational | The NGO loveLife scales up over time to prevent HIV among South African youth before losing one-third of its operating budget. |
loveLife**: Transitions After 2005 | Southern Africa | Private | Organizational | loveLife managers downsize and secure additional government funding to sustain the NGO. |
The Avahan India AIDS Initiative: Managing Targeted HIV Prevention at Scale | South Asia | Private | Quantitative, political | The Avahan Indian AIDS Initiative (Avahan), an HIV prevention delivery program of the Bill & Melinda Gates Foundation, implements large-scale intervention strategies using a noteworthy structure, execution style, and management system. |
HIV Prevention in Maharashtra, India | South Asia | Private | Quantitative, functional, organizational | Muslim Samaj Prabodhan Va Shikshan Sanstha (MSPSS), a grantee NGO with funding from Avahan, delivers high-value, comprehensive HIV preventive services to a high-risk population and must determine how to preserve the value of the program as it prepares to transition the program to government ownership. |