Low Cost Production Of HIV-related Healthcare By grassroots CBOs in South Africa, Zimbabwe, and Uganda; What It Means Exactly.


Low cost production of HIV-related care is possible in the world. We can start by cutting down on expenses in the area that I call ornamental. Look into the trips one makes as a manager of an initiative; look into what fuels stigma and discrimination; look into domestic violence cases in your catchment area and other political-cultural-economical-social issues.

 “The world must increase the amount of resources available for HIV by US$1.5 billion each year between 2016 and 2020, a situation that is looking increasingly unlikely. New HIV infections are falling, but more antiretroviral drugs are needed. The huge mobilisation of resources for the global HIV and AIDS response over the course of the epidemic has been unprecedented in the history of public health. The challenge of funding HIV treatment, prevention and care in middle- and low-income countries has been characterised by vocal advocacy, unique and innovative funding mechanisms, previously unseen levels of bilateral (direct government-to-country) aid, and philanthropic donations whose scale have rivalled those of donor governments and multilateral institutions,” (Avert, 2018).  For more on this see funding for HIV and AIDS, 

Healthcare is a merit good and individual countries must devise means to provide resources in form of money, integrated social services and engaging a populace in self care. “Nowadays healthcare is commonly considered a ‘merit good’ – a commodity which is judged that an individual or society should have on the basis of need rather than ability and willingness to pay, “(Esteban Ortiz-Ospina and Max Roser, 2018). For more read their paper titled “Financing Healthcare.”

Following reduction in funds for maintaining a supply chain for ARVs, there are tried and tested practices the three countries can pursue to sustain a roll back effort. Knowledge of the new trends and empowering communities to access prevention and care tools will enable HIV Service providers in Africa to provide low cost HIV-related healthcare. Low cost, because this will be an opportunity to show case value for money results.  This will mean a people living with HIV-centered programming. I use the Politics, People, Prevention and Planet Model to elucidate this. 

This model relies on collaboration within countries, at international levels and maintaining partnerships which helps mobilize resources to establish prevention and care infrastructure. Some examples in crude: EGPAF, Case Western, Johns Hopkins, Medical Research Council, Harvard AIDS Institute, CDC, Bill and Melinda Gates and Clinton Foundation which speed the development and implementation of effective and sustainable medical/public health interventions. The Global Fund cut annual AIDS-related deaths by nearly half and new infections by 39 percent. Of 36.7 million people living with HIV, nearly 21 million are on antiretroviral therapy – 11 million through Global Fund-supported programs. Other partnering organizations offer primarily technical expertise, such as the Clinton Foundation, which played a leading role in designing treatment plans and negotiated much cheaper prices on a generic ARV regimen that those programmes may use (See:Keith Alcorn,). PEPFAR is a mechanism with multi-country wherewithal and through its influence the negative role of stigma can be addressed if Africa is to roll back the HIV epidemic. This position paper has been generated for you using materials from different underscored sources. 







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