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Lessons from HIV and TB Science of Service Delivery

Explore the past to learn strategic planning, behavior change, cost effectiveness, and advocacy in service delivery for HIV and TB. Learn how the Science of Service Delivery can shape future interventions.

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Lessons from HIV and TB Science of Service Delivery

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  1. Learning from the past: HIV, TB and the Science of Service Delivery Patrick Osewe World BAnk July 24, 2014

  2. Why is HIV so important?

  3. HIV is unprecedented among epidemics • A persistent pandemic that has global reach • Garnered sustained global attention for more than a decade • More money mobilised than any other disease • Generated many useful lessons for service delivery and access

  4. What we have learnt from HIV? • Strategic planning Universal access Behaviour change Targeting high risk groups Civil society involvement Costing Drug procurement M&E Modes of transmission Advocacy Gender Efficiency Life-long treatment Results Donor/government involvement

  5. What did we learn from reproductive health? Behaviour change Civil society involvement High risk groups • Health systems Gender Advocacy M&E Donor/government involvement Equal access Results

  6. How to learn lessons? The example of the Science of Service Delivery • Problem-driven approach • Context sensitive • Feedback loops, evidence and knowledge • Multi-sectoral and multidisciplinary approach • Adaptive leadership and change management • Partnerships

  7. Application to HIV and TB in the mining sector • TB in the mines an emergency for 100 years • Driven by poor living conditions, occupational risks, circular migration, and, most recently, HIV • Multi-sectoral, cross-border problem • Public and private sector cooperation essential

  8. Science of Service Delivery: solutions • Targeting of high-risk groups • Migrant outreach, multiple countries • Testing and extension of occupational health services • Contract tracing and family/community involvement • Community mobilisation • Stakeholder coordination • Multi-sectoral, multi-partner approach • All have common features with aspects of the HIV response

  9. The South Africa Knowledge Hub • Established between the World Bank and the Government of South Africa in 2012 • To extract best practices from South Africa to share with other countries • To bring international best practices to this region • Establish a platform for consistent and productive south-south knowledge exchange • Eg, Knowledge Hub events in Pretoria (Sept 2013), Melbourne (July), Cape Town (Oct)

  10. The South Africa Knowledge Hub (2) • The way forward • Encourage active participation by practitioners, implementers, and policymakers: • Identify and document lessons learnt – failures and successes • Assisted documentation through support services • Share experiential knowledge and disseminate best practices • Writing and publication workshops

  11. THANK YOU CONTACTS: • Patrick Osewe, World Bank (posewe@worldbank.org) • Hannah Kikaya, Strengthening Health Systems (Hannah.Kikaya@hmpg.co.za)

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