Global partnerships to support noncommunicable disease care in low and middle-income countries: lessons from HIV/AIDS

AIDS. 2018 Jul 1:32 Suppl 1:S75-S82. doi: 10.1097/QAD.0000000000001880.

Abstract

Objective: The aim of this study was to identify lessons learned from partnerships addressing the HIV/AIDS epidemic that can inform those needed to mitigate the noncommunicable diseases (NCDs) epidemic in low and middle-income countries (LMICs).

Design: We selected and analysed a convenience sample of organizational partnerships developed to address the HIV/AIDS epidemic in LMICs, focusing on their specific strategies and contributions.

Methods: A review of published literature and website information pertaining to a convenience sample of five global organizations and/or types of partnerships that provide support to fight the HIV/AIDS epidemic was qualitatively analysed to assess key areas of support provided to scale-up services in response to the HIV/AIDS epidemic.

Results: Six topical areas of support were identified: HIV/AIDS service delivery; enhancing comprehensive health systems capacity; operational and implementation science research to improve care delivery; introducing and improving the availability of new products; political advocacy; and early-stage planning for sustainability and transition to more independent implementing-country delivery programmes. These six areas of support were qualitatively assessed for identify a focus, contributory or minimal contribution on the part of each of the organizations and/or types of partnerships reviewed.

Conclusion: No single global partnership addresses the range of support needed to respond to the HIV/AIDS epidemic, and this will likely be true for an effective response to the emerging NCD epidemic. A range of coordinated financial and/or technical support as well as lessons learned from global HIV/AIDS partnerships will be key to achieving an effective response to the global NCD epidemic.

Publication types

  • Research Support, N.I.H., Extramural
  • Systematic Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Delivery of Health Care / organization & administration*
  • Developing Countries
  • Disease Management*
  • Female
  • HIV Infections / complications*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Noncommunicable Diseases / epidemiology*
  • Noncommunicable Diseases / therapy*
  • Public-Private Sector Partnerships / organization & administration*
  • Young Adult