Institute of Tropical Medicine Antwerp
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Towards an improved investment approach for an effective response to HIV/AIDS

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dc.contributor.author Schwartländer, B.
dc.contributor.author Stover, J.
dc.contributor.author Hallett, T.
dc.contributor.author Atun, R.
dc.contributor.author Avila, C.
dc.contributor.author Gouws, E.
dc.contributor.author Bartos, E.
dc.contributor.author Ghys, P. D.
dc.contributor.author Opuni, M.
dc.contributor.author Barr, D.
dc.contributor.author Alsallaq, R.
dc.contributor.author Bollinger, L.
dc.contributor.author de Freitas, M.
dc.contributor.author Garnett, G.
dc.contributor.author Holmes, C.
dc.contributor.author Legins, K.
dc.contributor.author Pillay, Y.
dc.contributor.author Stanciole, A. E.
dc.contributor.author McClure, C.
dc.contributor.author Hirnschall, G.
dc.contributor.author Laga, M.
dc.contributor.author Padian, N.
dc.date.accessioned 2011-06-30T09:58:43Z
dc.date.available 2011-06-30T09:58:43Z
dc.date.issued 2011
dc.identifier.issn 0140-6736
dc.identifier.doi http://dx.doi.org/10.1016/S0140-6736(11)60702-2
dc.identifier.other ITG-M21A
dc.identifier.other MICRO
dc.identifier.other U-HIVSTD
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other Abstract
dc.identifier.other UPD35
dc.identifier.uri http://hdl.handle.net/10390/6607
dc.description.abstract Substantial changes are needed to achieve a more targeted and strategic approach to investment in the response to the HIV/AIDS epidemic that will yield long-term dividends. Until now, advocacy for resources has been done on the basis of a commodity approach that encouraged scaling up of numerous strategies in parallel, irrespective of their relative effects. We propose a strategic investment framework that is intended to support better management of national and international HIV/AIDS responses than exists with the present system. Our framework incorporates major efficiency gains through community mobilisation, synergies between programme elements, and benefits of the extension of antiretroviral therapy for prevention of HIV transmission. It proposes three categories of investment, consisting of six basic programmatic activities, interventions that create an enabling environment to achieve maximum effectiveness, and programmatic efforts in other health and development sectors related to HIV/AIDS. The yearly cost of achievement of universal access to HIV prevention, treatment, care, and support by 2015 is estimated at no less than US$22 billion. Implementation of the new investment framework would avert 12.2 million new HIV infections and 7.4 million deaths from AIDS between 2011 and 2020 compared with continuation of present approaches, and result in 29.4 million life-years gained. The framework is cost effective at $1060 per life-year gained, and the additional investment proposed would be largely offset from savings in treatment costs alone. en
dc.language English en
dc.subject Viral diseases en
dc.subject HIV en
dc.subject AIDS en
dc.subject Epidemics en
dc.subject Control strategies en
dc.subject Financing en
dc.subject Resource mobilization en
dc.subject Advocacy en
dc.subject Targeted approach en
dc.subject Framework en
dc.subject Modeling en
dc.subject Prevention en
dc.subject Efficiency en
dc.subject Community mobilization en
dc.subject Control programs en
dc.subject HAART en
dc.subject Antiretrovirals en
dc.subject Interventions en
dc.subject Effectiveness en
dc.subject Universal coverage en
dc.subject Accessibility en
dc.subject Cost en
dc.subject Cost-effectiveness en
dc.subject Review of the literature en
dc.subject Global en
dc.title Towards an improved investment approach for an effective response to HIV/AIDS en
dc.type Article en
dc.citation.issue 9782 en
dc.citation.jtitle Lancet en
dc.citation.volume 377 en
dc.citation.pages 2031-2041 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/21641026
dc.citation.jabbreviation Lancet en


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