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The Economics of the Global Response to HIV/AIDS$
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Markus Haacker

Print publication date: 2016

Print ISBN-13: 9780198718048

Published to Oxford Scholarship Online: August 2016

DOI: 10.1093/acprof:oso/9780198718048.001.0001

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Optimal HIV/AIDS Spending Allocations

Optimal HIV/AIDS Spending Allocations

Chapter:
(p.175) 10 Optimal HIV/AIDS Spending Allocations
Source:
The Economics of the Global Response to HIV/AIDS
Author(s):

Markus Haacker

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198718048.003.0010

This chapter discusses the design of optimal HIV/AIDS responses. It traces the evolving meaning of ‘combination HIV prevention’ and the perspectives introduced under the UNAIDS ‘investment framework’. Establishing an ‘optimal’ combination of HIV/AIDS interventions is an elusive task—there are multiple objectives, the slow disease progression and transmission dynamics mean that optimal spending patterns over a period need to be determined simultaneously, rather than one period at a time, and there is no obvious way of evaluating the endpoint—the state of HIV/AIDS and the HIV/AIDS response at the end of a policy period. The chapter discusses and develops best practice in assessing and improving the cost-effectiveness of specific HIV/AIDS programmes, by identifying the contributions of its components to outcomes and costs, and testing whether cost-effectiveness can be improved by re-allocating resources. The chapter closes with a discussion of some studies using optimization techniques more fundamentally.

Keywords:   HIV/AIDS, programme evaluation, programme design, optimization, fiscal space, combination HIV prevention, cost-effectiveness

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