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Current Issues in HIV/AIDS Programme Design Current Issues in HIV/AIDS Programme Design
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Understanding Cost-effectiveness Understanding Cost-effectiveness
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Treatment Access, Survival, and the Calculus of Cost-effectiveness Treatment Access, Survival, and the Calculus of Cost-effectiveness
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7 Current Policy Challenges and Economic Perspectives
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Published:June 2016
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Abstract
From about 2008, in part motivated by the global financial crisis and a perceived slowdown in external funding, the emphasis in the global response to HIV/AIDS has shifted to improving cost-effectiveness and securing the financial sustainability of the HIV/AIDS response. The most prominent formulation of this shift is the UNAIDS investment framework, launched in 2011. At the same time, the calculus of cost-effectiveness of HIV/AIDS-related interventions has changed fundamentally as people living with HIV in most countries now have a good chance of obtaining treatment, survive for decades, and quite possibly not die because of AIDS. The chapter provides an informal framework for assessing the cost-effectiveness of HIV/AIDS policies and interventions, taking into account health, economic, development, and fiscal consequences, and provides an analysis of the changing consequences of HIV infections as treatment eligibility and coverage improve.
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