title: [The role of supply-side characteristics of services in AIDS mortality in Mexico].
abstract: OBJECTIVE
  To document the association between supply-side determinants and AIDS mortality in Mexico between 2008 and 2013.
  
  
  METHODS
  We analyzed the SALVAR database (system for antiretroviral management, logistics and surveillance) as well as data collected through a nationally representative survey in health facilities. We used multivariate logit regression models to estimate the association between supply-side characteristics, namely management, training and experience of health care providers, and AIDS mortality, distinguishing early and non-early mortality and controlling for clinical indicators of the patients.
  
  
  RESULTS
  Clinic status of the patients (initial CD4 and viral load) explain 44.4% of the variability of early mortality across clinics and 13.8% of the variability in non-early mortality. Supply-side characteristics increase explanatory power of the models by 16% in the case of early mortality, and 96% in the case of non-early mortality.
  
  
  CONCLUSIONS
  Aspects of management and implementation of services contribute significantly to explain AIDS mortality in Mexico. Improving these aspects of the national program, can similarly improve its results.
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Sergio
authors.initials: S
authors.lastname: Bautista-Arredondo
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Edson
authors.initials: E
authors.lastname: Serván-Mori
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Omar
authors.initials: O
authors.lastname: Silverman-Retana
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: David
authors.initials: D
authors.lastname: Contreras-Loya
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Martín
authors.initials: M
authors.lastname: Romero-Martínez
authors.affiliation: Centro Nacional para la Prevención y el Control del VIH y el SIDA, México, Distrito Federal, México.
authors.forename: Carlos
authors.initials: C
authors.lastname: Magis-Rodríguez
authors.affiliation: Centro Nacional para la Prevención y el Control del VIH y el SIDA, México, Distrito Federal, México.
authors.forename: Patricia
authors.initials: P
authors.lastname: Uribe-Zúñiga
authors.affiliation: Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, Estados Unidos de América.
authors.forename: Rafael
authors.initials: R
authors.lastname: Lozano
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics / Q000401:mortality* / Q000517:prevention & control; D000328:Adult; D000465:Algorithms; D000554:Ambulatory Care Facilities / Q000191:economics / Q000600:supply & distribution; D019380:Anti-HIV Agents / Q000600:supply & distribution / Q000627:therapeutic use; D018791:CD4 Lymphocyte Count; D003266:Continuity of Patient Care; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000191:economics; D006296:Health Services / Q000191:economics / Q000600:supply & distribution*; D006297:Health Services Accessibility / Q000191:economics; D006298:Health Services Administration / Q000191:economics; D006301:Health Services Needs and Demand; D006801:Humans; D016015:Logistic Models; D008297:Male; D008800:Mexico / Q000453:epidemiology; D018803:Models, Economic; D061213:Mortality, Premature; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration; D019562:Viral Load
chemical_list: D019380:Anti-HIV Agents