Objective
Increasing access to antiretroviral treatment (ART) in resource-poor settings is an obvious emergency but scale-up of ART poses serious challenges to the overall health system s functioning. The response of the system to these challenges may jeopardize or strengthen its response to other health priorities and will affect the feasibility of MDG 4 and 5 in Sub-Saharan Africa (SSA). HIV is inherently linked to child survival, gender inequities and reproductive health. It increases infant and child mortality wi th up to 40%. Women are 4-25 times more vulnerable to HIV transmission, on average 10 years younger than men when infected and make up the majority of people living with HIV in SSA. Donor investment in vertical ART programs equals a doubling of the current health budget in some SSA countries, thus, access is no longer constrained by drug costs. Low absorption capacity, lack of infrastructure and human resources are the major challenges to implementing the WHO 3 by 5 . Using Tanzania as an example, a redist ribution of 35-70% of the health workforce is required to increase the number on ART from 8,000 to 220,000 in 2005. Lack of integration of ART with antenatal care limits access to prevention of mother-to child transmission. Pooling of staff to ART undermin es the quality of basic care (ANC, IMCI) and reduces access to 2nd level care (e.g. caesarean section) risking to increase child and maternal mortality. How to absorb ART funds, prioritize among different types of care, correctly distribute, monitor and su stain ART in fragile health systems with weak resource allocation capacity, without harming the most vulnerable needs to be solved. We will study health policy, health services and maternal and child health consequences of ART scale-up in population-based settings with existing infrastructures for registration of vital events and diseases; 3 demographic surveillance sites in 3 different SSA countries, using both quantitative and qualitative research methods.
Fields of science (EuroSciVoc)
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
- social sciences sociology demography mortality
- medical and health sciences health sciences social biomedical sciences sexual health
- medical and health sciences health sciences infectious diseases RNA viruses HIV
- social sciences economics and business business and management employment
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Programme(s)
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Topic(s)
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Call for proposal
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
FP6-2004-INCO-DEV-3
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Funding Scheme
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Coordinator
STOCKHOLM
Sweden
The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.