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dc.contributor.authorShattock, Andrew J.
dc.contributor.authorBenedikt, Clemens
dc.contributor.authorBokazhanova, Aliya
dc.contributor.authorDuric, Predrag
dc.contributor.authorPetrenko, Irina
dc.contributor.authorGanina, Lolita
dc.contributor.authorKelly, Sherrie L.
dc.contributor.authorStuart, Robyn M.
dc.contributor.authorKerr, Cliff C.
dc.contributor.authorVinichenko, Tatiana
dc.contributor.authorZhang, Shufang
dc.contributor.authorHamelmann, Christoph
dc.contributor.authorManova, Manoela
dc.contributor.authorMasaki, Emiko
dc.contributor.authorWilson, David P.
dc.contributor.authorGray, Richard T.
dc.date.accessioned2018-06-29T22:02:20Z
dc.date.available2018-06-29T22:02:20Z
dc.date.issued2017-02-16
dc.identifierER4673
dc.identifier.citationShattock, A., Benedikt, C., Bokazhanova, A., Duric, P., Petrenko, I., Ganina, L., Kelly, S., Stuart, R., Kerr, C., Vinichenko, T., Zhang, S., Hamelmann, C., Manova, M., Masaki, E., Wilson, D. & Gray, R. (2017) Kazakhstan can achieve ambitious HIV targets despite expected donor withdrawal by combining improved ART procurement mechanisms with allocative and implementation efficiencies, PLoS ONE, vol. 12, , pp. e0169530,
dc.identifier.issn1932-6203
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0169530
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/4673
dc.description.abstractBackground Despite a non-decreasing HIV epidemic, international donors are soon expected to withdraw funding from Kazakhstan. Here we analyze how allocative, implementation, and technical efficiencies could strengthen the national HIV response under assumptions of future budget levels. Methodology We used the Optima model to project future scenarios of the HIV epidemic in Kazakhstan that varied in future antiretroviral treatment unit costs and management expenditure-two areas identified for potential cost-reductions. We determined optimal allocations across HIV programs to satisfy either national targets or ambitious targets. For each scenario, we considered two cases of future HIV financing: the 2014 national budget maintained into the future and the 2014 budget without current international investment. Findings Kazakhstan can achieve its national HIV targets with the current budget by (1) optimally re-allocating resources across programs and (2) either securing a 35% [30%-39%] reduction in antiretroviral treatment drug costs or reducing management costs by 44% [36%-58%] of 2014 levels. Alternatively, a combination of antiretroviral treatment and management cost-reductions could be sufficient. Furthermore, Kazakhstan can achieve ambitious targets of halving new infections and AIDS-related deaths by 2020 compared to 2014 levels by attaining a 67% reduction in antiretroviral treatment costs, a 19% [14%-27%] reduction in management costs, and allocating resources optimally. Significance With Kazakhstan facing impending donor withdrawal, it is important for the HIV response to achieve more with available resources. This analysis can help to guide HIV response planners in directing available funding to achieve the greatest yield from investments. The key changes recommended were considered realistic by Kazakhstan country representatives.
dc.format.extente0169530
dc.publisherPLoS
dc.relation.ispartofPLoS ONE
dc.titleKazakhstan can achieve ambitious HIV targets despite expected donor withdrawal by combining improved ART procurement mechanisms with allocative and implementation efficiencies
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume12
dc.identifier.doihttp://10.1371/journal.pone.0169530
dc.description.ispublishedpub
dc.description.eprintid4673
rioxxterms.typearticle
refterms.dateAccepted2016-12-19
refterms.dateFCA2017-02-21
refterms.dateFCD2017-02-21
qmu.authorDuric, Predrag
qmu.centreInstitute for Global Health and Development
dc.description.statuspub
dc.description.number2


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