MAXIMIZING POSITIVE SYNERGIES - World Health Organization

GAVI
Disease Priority Amount Approved (in US$)
Pentavalent vaccine 28,217,000
Tetravalent vaccine 9,776,000
Yellow fever vaccine 6,060,000
Vaccine introduction grant 358,500
Injection Safety 1,029,300
Immunization services support 9,407,120
Health systems strengthening 9,846,000
TOTAL: 64,692,469
World Bank MAP
Project Title FY Approved /
Closing Date
Commitment
(in US$)
Multisectoral HIV/AIDS Project 2001/2007 50,000,000
TOTAL: 50,000,000
Results
Quality of care according to the level of health care delivery and early entry to care
A relatively good quality of care in district HIV services
Mean CD4 gain was 15.5 cells/mm3 per month in ART-treated patients followed up for at least six
months in District MUs and Central ATCs and 12.0 cells/mm 3 per month for patients followed-up in
provincial ATCs (p48 hours) during the previous four weeks concerned
11.6% of the patients. No difference was observed between the different levels of health care
decentralization. Multivariate analyses showed that low income, high alcohol consumption and
high negative perception of ART toxicity (measured as number of perceived treatment side effects)
were independent predictors of ART interruption. Some structural factors were also identified as
associated with ART interruption: ART shortage, lack of counselling by social workers or PLWHA
associations, low medical facilities equipment and high degree of task delegation from doctors to
health care workers were predictive of ART interruptions.
Finally, results showed that physical HRQL was similar at all levels of health care delivery; whereas
mental health was significantly better at district level. Social and/or economic insecurity and bad
health (hospitalization during the previous six months, low body mass index, high perceived drug
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