Evidence-based implementation efficiency analysis of the HIV/AIDS national response in Colombia

Antonio Moreno, Alvarez-Rosete. Arturo, Ricardo Luque Nunez, Teresa del Carmen Moreno Chavez, Rosalia Rodriguez-Garcia, Fernando Montenegro, Luis Angel Moreno, Alejandra Suarez Lissi, Pedro Magne Concardo and Michel Eric Gaillard

No 6182, Policy Research Working Paper Series from The World Bank

Abstract: This study on the implementation efficiency of the HIV/AIDS national response in Colombia seeks to examine how it has been implemented -- whether it has been done according to the available evidence about the epidemic and as the response was originally planned. The study approaches three specific dimensions of implementation efficiency: (i) programmatic; (ii) budgetary; and (iii) service delivery. The study uses a range of research techniques, including: (i) documentary analysis of key policies, official publications and reports; (ii) semi-structured interviews with representatives of the central government and territorial entities, international and community-based organizations, insurers, care providers, etc.; and (iii) case-study analysis to visualize the ways in which people are cared for in practice. The available data suggest that the HIV/AIDS response is succeeding in keeping the prevalence low and the epidemic concentrated. In recent years, the level of health coverage has increased and the quality of care services has improved. The identified problems in service delivery (mostly related to coverage and access) are linked to system fragmentation and integration, and to the nature of the coordination mechanisms, both at the national and the territorial level. The effectiveness of the response would benefit from re-energized leadership at both the national and local levels -- articulated through the existing programmatic framework and coordinating mechanisms. The complexity of the system and the lack of budgetary and expenditure information have impeded the evaluation of the budgetary efficiency of the HIV/AIDS response.

Keywords: Health Monitoring&Evaluation; HIV AIDS; Population Policies; Health Systems Development&Reform; Disease Control&Prevention (search for similar items in EconPapers)
Date: 2012-08-01
New Economics Papers: this item is included in nep-dev and nep-hea
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://www-wds.worldbank.org/external/default/WDSC ... ered/PDF/wps6182.pdf (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wbk:wbrwps:6182

Access Statistics for this paper

More papers in Policy Research Working Paper Series from The World Bank 1818 H Street, N.W., Washington, DC 20433. Contact information at EDIRC.
Bibliographic data for series maintained by Roula I. Yazigi ().