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Table 1 Development of a Program to Provide HIV Care to Undocumented Migrants in Israel, 2001-present

From: Ensuring HIV care to undocumented migrants in Israel: a public-private partnership case study

 

Initial Attempts (2001–2011)

Preparation (2012–2013)

Implementation (2014–2015)

Government Program (2016-Present)

Government Offices

DTA

DTA

MoH General Director

DTA

MoH General Director

Pharmaceutical Division

DTA

Non-Governmental Organizations

IATF

IATF; PHRI; Israeli HIV Medical Society

IATF; PHRI; Israeli HIV Medical Society

IATF

International Organizations

TGF (refused)

UNHCR (refused)

  

Health Services

  

TB, STI, and HIV Clinics

Clalit Medical Organization

Hadassah Medical Center

 

Private Companies

  

Pharmaceutical Companies/Suppliers

Tel Aviv Pharmacy

 

Summary

Succeeded in extending care to pregnant women without health insurance. TGF concluded it wasn’t possible to provide ART at a discounted rate for migrants from countries that receive discounts

A change in leadership at the MoH created inter-office interests in extending HIV care. Partnerships in multiple sectors were developed. UNHCR concluded in wasn’t possible to negotiate discounted prices for ART.

Partners from multiple sectors came together to insure the feasibility of extending HIV care to undocumented migrants. Bi-annual meetings were held to insure clear communication between stakeholders

The program was fully absorbed as a government program. Services provided to undocumented migrants are now part of standard practice.

  1. ART Antiretroviral treatment, DTA Department of Tuberculosis and AIDS, HIV Human immunodeficiency virus, IATF Israel AIDS Task Force, MoH Ministry of Health, PHRI Physicians for Human Rights Israel, STI Sexually Transmitted Infection, TB Tuberculosis, TGF The Global Fund, UNHCR United Nations High Commissioner for Refugees