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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
Session: Evidence for Effective Scale-Up: AIDS Treatment for All -- the Mozambique Experience
3372.0: Monday, December 12, 2005: 4:30 PM-6:00 PM
Evidence for Effective Scale-Up: AIDS Treatment for All -- the Mozambique Experience
This session will describe Mozambique's recent efforts to scale-up AIDS treatment nationally through the public sector health system. Each presentation will describe steps in the process and identify key strengths and challenges to Mozambique’s approach. Examining both the successes and difficulties of the Mozambique experience can help inform the creation of AIDS treatment programs in Africa and the developing world. The first presentation describes how the government-led HIV Care Task Force built on previous efforts to create a comprehensive, sustainable, and equitable national plan. We discuss the importance of funding recurrent costs, including raising salaries for all health workers, and improving overall management of the MOH. The second presentation describes the creation of the management approach and how 24 “Integrated HIV Care Networks” were created, staffed, and supplied throughout the country in a cost-effective manner. The third presentation compares the experience of four models of NGO participation, describing positive aspects of NGOs in helping the initial phase of ARV scale-up, deleterious effects creating human resource distortions (duplicative systems and lack of coordination), and efforts by the MOH to integrate systems. The fourth presentation describes the functioning of the “Day Hospital” model for provision of treatment, including advantages and obstacles. Overall, the panel will provide a comprehensive overview of the planning and implementation of this ambitious and successful plan.
Learning Objectives: Refer to the individual abstracts for learning objectives
Moderator(s):Mary Anne Mercer, DrPH
4:30 PMIntroductory Remarks
4:35 PMInternational NGOs in the Scale-up of Anti-retroviral Treatment
Kenneth Gimbel-Sherr, MPH, Sarah Gimbel-Sherr, RN, MA, Mark A. Micek, MD, MPH, James T. Pfeiffer, PhD, MPH, Stephen Gloyd, MD, MPH
4:55 PMLocal Implementation of the National ARV Scale-up Plan in Central Mozambique
Mark A. Micek, MD, MPH, Kenneth Gimbel-Sherr, MPH, Sarah Gimbel-Sherr, RN, MA, James T. Pfeiffer, PhD, MPH, Pablo Montoya, MD, MPH, Wendy Johnson, MD, MPH, Rosa Marlene Manjate, MD, MPH, Stephen Gloyd, MD, MPH
5:15 PMWorkforce planning using simulation of demand for HIV/AIDS treatment
Amy Hagopian, MHA, PhD, Mark A. Micek, MD, MPH
5:35 PMDiscussion
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:International Health
Endorsed by:Alternative and Complementary Health Practices; Maternal and Child Health; Population, Family Planning, and Reproductive Health; Public Health Nursing
CE Credits:CME, Health Education (CHES), Nursing

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA