HIV/AIDS in Brazil: Prevention in a Decentralized Health System
2011
This case describes the Brazilian National AIDS Program's strategy in the late 2000s to prevent HIV infections. The case is set against the context of a heterogeneous, concentrated epidemic and decentralized public health system that guaranteed access to care and treatment. The case traces the nation's response to HIV from the late 1980s through 2009 via a human rights framework, highlighting the cooperation with civil society. Readers are challenged to understand the relationships between HIV/AIDS prevention and treatment, decentralization and sustainability.
Learning Objectives: Students should understand the tradeoffs involved in a decentralized governance structure, the levers a central government department can pull to influence local health care delivery in a decentralized health system, and how civil society advocacy contributes to program sustainability.
The Global Health Delivery (GHD) Project, an interdisciplinary collaboration between Harvard Business School, Harvard Medical School, and Brigham and Women’s Hospital, investigates the management decisions behind disease treatment and prevention globally. The Global Health Delivery (GHD) Case Collection is a set of teaching case studies that are available for all at no cost online through Harvard Business Publishing, GHDonline, and The Case Centre.
HIV/AIDS in Brazil: Prevention in a Decentralized Health System
Source:
Arnquist S et al. HIV/AIDS in Brazil: Delivering Prevention in a Decentralized Health System. Harvard Global Health Delivery Project, Harvard Business Publishing 2011. https://www.globalhealthdelivery.org/case-collection/case-studies/latin-america-and-caribbean/hivaids-in-brazil.