Frontloading HIV financing maximizes the achievable impact of HIV prevention

Journal of the International AIDS Society
Sarah-Jane AndersonTimothy Hallett

Abstract

Due to the nature of funding, national planners and international donors typically balance budgets over short time periods when designing HIV programmes (˜5-year funding cycles). We aim to explicitly quantify the cost of short-term funding arrangements on the success of future HIV prevention programmes. Using mathematical models of HIV transmission in Kenya, we compare the impact of optimized combination prevention strategies under different constraints on investment over time. Each scenario has the same total budget for the 30-year intervention period but the pattern of spending over time is allowed to vary. We look at the impact of programmes with decreasing, increasing or constant spending across 5-year funding cycles for a 30-year period. Interventions are optimized within each funding cycle such that strategies take a short-term view of the epidemic. We compare these with two strategies with no spending pattern constraints: one with static intervention choices and another flexible strategy with interventions changed in year ten. For the same total 30-year budget, greatest impact is achieved if larger initial prevention spending is offset by later treatment savings which leads to accumulating benefits in reduced infections....Continue Reading

References

Mar 18, 2011·AIDS·Nicolas A MenziesJohn M Blandford
Jun 7, 2011·Lancet·Bernhard SchwartländerUNKNOWN Investment Framework Study Group
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Oct 30, 2012·Lancet·Rifat AtunJulio Frenk
Dec 21, 2013·PLoS Medicine·Anna VassallPeter Piot
Mar 2, 2016·Journal of the International AIDS Society·Andrew J ShattockRichard T Gray

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Citations

Jan 16, 2021·Health Policy and Planning·Markus HaackerRifat Atun
Nov 30, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Gabriela B GomezAnna Vassall

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