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Health Facility Efficiency Could Expand HIV Treatment


Health facilities in Uganda, Kenya and Zambia could extend life-sustaining antiretroviral therapy (ART) to hundreds of thousands of people living with HIV if facilities improved the efficiency of service delivery.
This is one of the main findings from a paper authored by the Institute for Health Metrics and Evaluation (IHME) and collaborators from the Infectious Diseases Research Collaboration (IDRC) in Uganda.
In this study, researchers measured the efficiency of facilities, including those providing ART services, in Uganda, Kenya and Zambia.
They analyzed how efficiently health services were produced and predicted how many more ART patient visits facilities could accommodate, given their resources, if they increased efficiency.
The results of the study showed that if facilities improved their efficiency to 80 percent, there could be a 62 percent in ART visits Uganda, 33 percent increase in Kenya and 33 percent in Zambia.
This means that increases in efficiency could support facilities seeing almost 460,000 new ART patients across all three countries.
Most of the health facilities according to the report are relatively low in terms of efficiency – indicating that facilities could produce more services and accommodate more patients given their resources.

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