Alternative financing mechanisms for ART programs in health facilities in Uganda: a mixed-methods approach

Henry Zakumumpa, Sara Bennett, and Freddie Ssengooba

Sub-Saharan Africa is heavily dependent on global health initiatives (GHIs) for funding antiretroviral therapy (ART) scale-up. There are indications that global investments for ART scale-up are flattening. It is unclear what new funding channels can bridge the funding gap for ART service delivery. Many previous studies have focused on domestic government spending and international funding especially from GHIs. The objective of this study was to identify the funding strategies adopted by health facilities in Uganda to sustain ART programs between 2004 and 2014 and to explore variations in financing mechanisms by ownership of health facility.

The study found that, over the 10-year study period, health facilities in Uganda diversified funding sources for ART service delivery. The identified alternative funding mechanisms could reduce dependence on GHI funding and increase local ownership of HIV programs. Further research evaluating the potential contribution of the identified alternative financing mechanisms in bridging the global HIV funding gap is recommended.

April 11, 2018
Year of publication
2017
Resource types
Journal and research articles
Tags
antiretroviral therapy (ART), ART scale-up, Uganda, global health initiatives, donor funding, funding gaps, international aid, funding strategies, funding mechanisms, service delivery

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Background: The World Health Organization (WHO) HIV treatment guidelines have been used by various countries to revise their national guidelines.