conflict-affected displaced persons need to benefit more from hiv and malaria national strategic plans and global fund grants受冲突影响流离失所者需要从艾滋病毒和疟疾获益更多国家战略和全球基金资助计划.pdfVIP

Spiegel et al. Conflict and Health 2010, 4:2 /content/4/1/2 RESEARCH Open Access Conflict-affected displaced persons need to benefit more from HIV and malaria national strategic plans and Global Fund grants * Paul B Spiegel , Heiko Hering, Eugene Paik, Marian Schilperoord Abstract Background: Access to HIV and malaria control programmes for refugees and internally displaced persons (IDPs) is not only a human rights issue but a public health priority for affected populations and host populations. The primary source of funding for malaria and HIV programmes for many countries is the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). This article analyses the current HIV and malaria National Strategic Plans (NSPs) and Global Fund approved proposals from rounds 1-8 for countries in Africa hosting populations with refugees and/or IDPs to document their inclusion. Methods: The review was limited to countries in Africa as they constitute the highest caseload of refugees and IDPs affected by HIV and malaria. Only countries with a refugee and/or IDP population of ≥ 10,000 persons were included. NSPs were retrieved from primary and secondary sources while approved Global Fund proposals were obtained from the organisation’s website. Refugee figures were obtained from the United Nations High Commissioner for Refugees’ database and IDP figures from the Internal Displacement Monitoring Centre. The inclusion of refugees and IDPs was classified into three categories: 1) no reference; 2) referenced; and 3) referenced with specific activities. Findings: A majority of countries did not mention IDPs (57%) compared with 48% for refugees in their HIV NSPs. For malaria, refugees were not included in 47% of NSPs compared with 44% for IDPs. A minority (21-29%) of HIV and malaria NSPs refer