260000 Social determinants of health and HIV prevention and care project planning: A case study among beneficiaries of the United States President's Emergency Plan for AIDS Relief (PEPFAR) in Gaza province of Mozambique, South East Africa

Tuesday, October 30, 2012 : 9:10 AM - 9:30 AM

Elizabeth Isimhen Williams, MPH , Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING), Helen Keller International, Dhaka, Bangladesh
Deborah McGill, DrPH, RN , Department of Public Health, Faculty of Health and Medical Sciences, University of Liverpool, Liverpool, United Kingdom
Issues: Mozambique in South East Africa has a national HIV prevalence of 14% while Gaza province with the highest prevalence of HIV has a rate of 27%. This is almost double the national estimate and represents a ten-fold increase compared to the HIV prevalence of the United States.

Description: Funded by the United States government, PEPFAR in Mozambique has worked since 2003 with a mandate to combat HIV/AIDS by providing treatment for 4 million, prevent 12 million new infections and care for 12 million people. PEPFAR carries out its mandate through numerous non-governmental and community based organizations (CBO). A great amount of emphasis is based on monitoring the effectiveness of PEPFARs' programs but so far all of PEPFAR's assessment has been limited to collating quantitative output. A qualitative research conducted at a service-providing CBO assessed the effects of PEPFAR on social determinants of health from the perspective of beneficiaries living with HIV through in-depth interviews and focus group discussions

Lessons Learned: Male and female PLHIVs prioritized social determinants of health differently. Females prioritized determinants such as employment, spiritual well-being and vocational training which produce longer term psychological relief for themselves and children while men imputed more importance to determinants which remedy immediate needs such as food, increased household supplement, alcohol abuse and sexual behavior.

Recommendations: Correctly analyzing the level of importance beneficiaries of HIV/AIDS care project ascribe to factors which affect their health in the short and long term will help project planners create more equitable projects.

Learning Areas:
Program planning
Public health or related research

Learning Objectives:
Describe 2 different social determinants of health which are unique to male and female beneficiaries respectively of the President's Emergency Plan For AIDS Relief (PEPFAR) intervention in Gaza Mozambique

Keywords: HIV/AIDS, Developing Countries

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Elizabeth Isimhen Williams started her career in adolescent reproductive health in 1994. She has worked with national and international NGOs and U.S. government agencies in Nigeria, Guyana and Mozambique where she worked as the PEPFAR country coordinator. She holds a B.Agric in agricultural-economics from University of Ibadan and a MPH from University of Liverpool and has published research papers in international journals on social determinants of health and the impact of HIV/AIDS on economic efficiency
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.