Monitoring Equity in Access to AIDS treatment programmes:
A review of concepts, models, methods and indicators
Commissioned by the World Health Organization (Department of Ethics, Equity, Trade and Human Rights - Social Determinants of Health) and
the Regional Network for Equity in Health in East and
REACH Trust and Training and Research Support Centre (TARSC) – 2010
PDF [98p] Available for free download at: http://bit.ly/efXlSe
“….Barriers that prevent access to antiretroviral treatment services (ART) are often socially determined. Using the Tanahashi model of health service coverage and by identifying areas of health systems and programs where action needs to be strengthened to improve equity, this publication proposes a set of potential indicators to monitor equity in access to ART. Monitoring equity in access helps decision-makers to reach people frequently excluded from treatment and facilitates efforts to overcome barriers by addressing their social determinants, within and beyond the health system.
This jointly prepared publication follows up previous WHO work that explores the barriers and social determinants that impact on specific health conditions presented in the book "Equity, social determinants and public health programmes" (2010). It also builds on over 8 years of policy dialogue and research in east and southern
The rationale, concepts and indicators included in this publication can be further refined and adapted in the future to measure equity in access to health services or to other public health programs (e.g. TB, non-communicable diseases).
Table of Contents
Executive summary
1. Introduction
2. Key concepts: health systems, equity and social determinants of health
3. The Tanahashi model of health service coverage
4. Methods for measuring equity in access and health systems strengthening
5. Equity, health systems and treatment of HIV and AIDS
6. Indicators of equity by thematic monitoring area
7. Summary of indicators by coverage domains
Conclusions
References
Appendix: Summary list of indicators for equity monitoring by layer of effective coverage, using the Tanahashi model
For more information contact
Daniel Albrecht (albrechtalbad@who.int) - Social Determinants of Health/Intersectoral Action -
Department of Ethics, Equity, Trade and Human Rights - Innovation, Information, Evidence and Research Cluster
World Health Organization
World Conference on Social Determinants of Health
Rio de Janeiro , Brazil
Website: http://bit.ly/edL4Ts Conference Programme Tentative outline: http://bit.ly/i4VYMC
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