Background

One of the largest global initiatives in the history of public health has been the scale-up of HIV antiretroviral treatment (ART) through public-sector health systems in sub-Saharan Africa , where about three quarters of the worldwide 34 million people infected with HIV live. Between 2002 and 2012 almost eight million HIV-positive individuals in sub-Saharan Africa were started on the life-saving treatment, and the annual global investments for ART currently stand at around £ 7 billion (2015). Through this, the Africa Centre for Population Health Programme on Health Systems and Impact has served as an early health policy warning system for health policy, establishing both the large benefits and potential problems with public sector ART policies, such as leakages in the treatment cascade and HIV disability grants.

What we’ll do

We will build on our unique experience to establish causal impacts of health policy changes.

Our key research questions:

  1. Access: How can the impact and delivery of HIV treatment and other chronic disease care be improved through the health system?
  2. Transformation: How can we transform the health system to improve the quality of HIV treatment and other chronic disease care?
  3. Impact: How can we increase the causal impact of HIV treatment and other chronic disease care on health, economic and social outcomes?
  4. Value: How can we improve the value for money of HIV treatment and other chronic disease care?
Health
Image Credit N. Durrell McKenna, Wellcome Images