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. 2013 Apr 16:6:1-21.
doi: 10.3402/gha.v6i0.20548.

A taxonomy for community-based care programs focused on HIV/AIDS prevention, treatment, and care in resource-poor settings

Beth Rachlis  1 , Sumeet Sodhi, Barry Burciul, James Orbinski, Amy H Y Cheng, Donald Cole
Affiliations

A taxonomy for community-based care programs focused on HIV/AIDS prevention, treatment, and care in resource-poor settings

Beth Rachlis et al. Glob Health Action. .

Abstract

Community-based care (CBC) can increase access to key services for people affected by HIV/AIDS through the mobilization of community interests and resources and their integration with formal health structures. Yet, the lack of a systematic framework for analysis of CBC focused on HIV/AIDS impedes our ability to understand and study CBC programs. We sought to develop taxonomy of CBC programs focused on HIV/AIDS in resource-limited settings in an effort to understand their key characteristics, uncover any gaps in programming, and highlight the potential roles they play. Our review aimed to systematically identify key CBC programs focused on HIV/AIDS in resource-limited settings. We used both bibliographic database searches (Medline, CINAHL, and EMBASE) for peer-reviewed literature and internet-based searches for gray literature. Our search terms were 'HIV' or 'AIDS' and 'community-based care' or 'CBC'. Two co-authors developed a descriptive taxonomy through an iterative, inductive process using the retrieved program information. We identified 21 CBC programs useful for developing taxonomy. Extensive variation was observed within each of the nine categories identified: region, vision, characteristics of target populations, program scope, program operations, funding models, human resources, sustainability, and monitoring and evaluation strategies. While additional research may still be needed to identify the conditions that lead to overall program success, our findings can help to inform our understanding of the various aspects of CBC programs and inform potential logic models for CBC programming in the context of HIV/AIDS in resource-limited settings. Importantly, the findings of the present study can be used to develop sustainable HIV/AIDS-service delivery programs in regions with health resource shortages.

Keywords: HIV; community-based care; resource-limited settings; review; taxonomy.

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Figures

Fig. 1
Fig. 1
Potential program logic model for effective and sustainable CBC programming as informed by our presented taxonomy.
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References

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    1. United States Agency for International Development, Joint United Nations Programme on HIV/AIDS, World Health Organization, U.S. Centre for Disease Control and Prevention. Geneva: World Health Organization; 2005. Coverage of selected services for HIV/AIDS prevention, care, and support in low- and middle-income countries in 2003.

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