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Learning from the past: HIV, TB and the Science of Service Delivery

Learning from the past: HIV, TB and the Science of Service Delivery. Patrick Osewe World BAnk July 24, 2014. Why is HIV so important?. HIV is unprecedented among epidemics. A persistent pandemic that has global reach Garnered sustained global attention for more than a decade

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Learning from the past: HIV, TB and the 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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