Publication: Evidence-based Implementation Efficiency Analysis of the HIV/AIDS National Response in Colombia
Date
2012-08
ISSN
Published
2012-08
Author(s)
Moreno, Antonio
Álvarez-Rosete, Arturo
Luque Nuñez, Ricardo
del Carmen Moreno Chavez, Teresa
Rodriguez-García, Rosalía
Montenegro, Fernando
Moreno, Luis Ángel
Suarez Lissi, Alejandra
Magne Concardo, Pedro
Gaillard, Michel Eric
Abstract
This study on the implementation
efficiency of the HIV/AIDS national response in Colombia
seeks to examine how it has been implemented -- whether it
has been done according to the available evidence about the
epidemic and as the response was originally planned. The
study approaches three specific dimensions of implementation
efficiency: (i) programmatic; (ii) budgetary; and (iii)
service delivery. The study uses a range of research
techniques, including: (i) documentary analysis of key
policies, official publications and reports; (ii)
semi-structured interviews with representatives of the
central government and territorial entities, international
and community-based organizations, insurers, care providers,
etc.; and (iii) case-study analysis to visualize the ways in
which people are cared for in practice. The available data
suggest that the HIV/AIDS response is succeeding in keeping
the prevalence low and the epidemic concentrated. In recent
years, the level of health coverage has increased and the
quality of care services has improved. The identified
problems in service delivery (mostly related to coverage and
access) are linked to system fragmentation and integration,
and to the nature of the coordination mechanisms, both at
the national and the territorial level. The effectiveness of
the response would benefit from re-energized leadership at
both the national and local levels -- articulated through
the existing programmatic framework and coordinating
mechanisms. The complexity of the system and the lack of
budgetary and expenditure information have impeded the
evaluation of the budgetary efficiency of the HIV/AIDS response.
Citation
“Moreno, Antonio; Álvarez-Rosete, Arturo; Luque Nuñez, Ricardo; del Carmen Moreno Chavez, Teresa; Rodriguez-García, Rosalía; Montenegro, Fernando; Moreno, Luis Ángel; Suarez Lissi, Alejandra; Magne Concardo, Pedro; Gaillard, Michel Eric. 2012. Evidence-based Implementation Efficiency Analysis of the HIV/AIDS National Response in Colombia. Policy Research Working Paper;No. 6182. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/6ea557ee-f758-5a32-916b-1dab28fea90b License: CC BY 3.0 IGO.”
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