Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras
This paper presents a model that policymakers can use to determine the resource allocation that will prevent the maximum number of new HIV infections at any given budget level. The optimal allocation exercise was conducted in Honduras, where the ep...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2002/06/3424559/optimizing-allocation-resources-among-hiv-prevention-interventions-honduras http://hdl.handle.net/10986/13689 |
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okr-10986-13689 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
DISEASE PREVENTION & CONTROL DISEASE TRANSMISSION EPIDEMIC DISEASES AIDS INFECTIONS AIDS INTERVENTIONS AIDS PREVENTION HIV EDUCATION HIV INFECTION RATES HIV PREVENTION INTERVENTIONS HIV TESTING ALLOCATION ISSUES EPIDEMIOLOGICAL DATA EPIDEMIOLOGICAL INFORMATION EPIDEMIOLOGICAL SURVEILLANCE EPIDEMIOLOGICAL TRENDS EPIDEMIOLOGISTS HIGH RISK SEXUAL BEHAVIOR MOTHER CHILD TRANSMISSION MALE HOMOSEXUALITY HETEROSEXUALITY OUTREACH ACTIVITIES OUTREACH SERVICES DISEASE SURVEILLANCE INTERVENTION STRATEGIES HEALTH COUNSELING TESTING INFORMATION DISSEMINATION ACCOUNT ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENTS ADULT PREVALENCE ADULT PREVALENCE RATE AIDS CASES AIDS ECONOMICS AIDS EPIDEMIC AIDS INCIDENCE ANTIRETROVIRAL DRUGS BEHAVIOR CHANGE BLOOD SAFETY CHILDBEARING COMMERCIAL SEX COMMERCIAL SEX WORKER COMMERCIAL SEX WORKERS CONDOM DISTRIBUTION CONDOM USE CONSISTENT CONDOM USE DISABILITY DRUGS EFFECTIVE PREVENTION EPIDEMIOLOGICAL SURVEILLANCE HEALTH HEALTH CARE HEALTH EXPENDITURE HETEROSEXUAL CONTACT HETEROSEXUAL SEX HETEROSEXUAL TRANSMISSION HIGH RISK GROUPS HIGH- RISK HIGH- RISK GROUPS HIGH-RISK HIGH-RISK GROUPS HIV HIV INFECTIONS HIV PREVALENCE HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HOSPITALIZATION HUMAN IMMUNODEFICIENCY VIRUS IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTIOUS DISEASES INJURIES INTERVENTION INTRAVENOUS DRUG USERS MALARIA MANAGERS MODE OF TRANSMISSION MORTALITY MORTALITY RATE MOTHER-CHILD TRANSMISSION MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NEW INFECTIONS NUTRITION NUTRITION OPPORTUNISTIC INFECTIONS ORPHANS PATIENTS PREVENTION AND CARE PREVENTION EFFORTS PREVENTION STRATEGIES PRIVATE SECTOR PUBLIC HEALTH PUBLIC SECTOR RELIGIOUS BODIES RISK BEHAVIOR RISK OF HIV TRANSMISSION SEX WITH MEN SEXUAL ENCOUNTERS SEXUAL ORIENTATION SOCIAL MARKETING SOCIAL VALUES STDS STIS TREATMENT AND CARE UNAIDS VIOLENCE WOMEN OF CHILDBEARING AGE WORKPLACE |
| spellingShingle |
DISEASE PREVENTION & CONTROL DISEASE TRANSMISSION EPIDEMIC DISEASES AIDS INFECTIONS AIDS INTERVENTIONS AIDS PREVENTION HIV EDUCATION HIV INFECTION RATES HIV PREVENTION INTERVENTIONS HIV TESTING ALLOCATION ISSUES EPIDEMIOLOGICAL DATA EPIDEMIOLOGICAL INFORMATION EPIDEMIOLOGICAL SURVEILLANCE EPIDEMIOLOGICAL TRENDS EPIDEMIOLOGISTS HIGH RISK SEXUAL BEHAVIOR MOTHER CHILD TRANSMISSION MALE HOMOSEXUALITY HETEROSEXUALITY OUTREACH ACTIVITIES OUTREACH SERVICES DISEASE SURVEILLANCE INTERVENTION STRATEGIES HEALTH COUNSELING TESTING INFORMATION DISSEMINATION ACCOUNT ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENTS ADULT PREVALENCE ADULT PREVALENCE RATE AIDS CASES AIDS ECONOMICS AIDS EPIDEMIC AIDS INCIDENCE ANTIRETROVIRAL DRUGS BEHAVIOR CHANGE BLOOD SAFETY CHILDBEARING COMMERCIAL SEX COMMERCIAL SEX WORKER COMMERCIAL SEX WORKERS CONDOM DISTRIBUTION CONDOM USE CONSISTENT CONDOM USE DISABILITY DRUGS EFFECTIVE PREVENTION EPIDEMIOLOGICAL SURVEILLANCE HEALTH HEALTH CARE HEALTH EXPENDITURE HETEROSEXUAL CONTACT HETEROSEXUAL SEX HETEROSEXUAL TRANSMISSION HIGH RISK GROUPS HIGH- RISK HIGH- RISK GROUPS HIGH-RISK HIGH-RISK GROUPS HIV HIV INFECTIONS HIV PREVALENCE HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HOSPITALIZATION HUMAN IMMUNODEFICIENCY VIRUS IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTIOUS DISEASES INJURIES INTERVENTION INTRAVENOUS DRUG USERS MALARIA MANAGERS MODE OF TRANSMISSION MORTALITY MORTALITY RATE MOTHER-CHILD TRANSMISSION MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NEW INFECTIONS NUTRITION NUTRITION OPPORTUNISTIC INFECTIONS ORPHANS PATIENTS PREVENTION AND CARE PREVENTION EFFORTS PREVENTION STRATEGIES PRIVATE SECTOR PUBLIC HEALTH PUBLIC SECTOR RELIGIOUS BODIES RISK BEHAVIOR RISK OF HIV TRANSMISSION SEX WITH MEN SEXUAL ENCOUNTERS SEXUAL ORIENTATION SOCIAL MARKETING SOCIAL VALUES STDS STIS TREATMENT AND CARE UNAIDS VIOLENCE WOMEN OF CHILDBEARING AGE WORKPLACE Beeharry, Girindre Schwab, Nicole Akhavan, Dariush Hernández, Rosalinda Paredes, Carla Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras |
| geographic_facet |
Latin America & Caribbean Honduras |
| relation |
Health, nutrition and population (HNP)
discussion paper series; |
| description |
This paper presents a model that
policymakers can use to determine the resource allocation
that will prevent the maximum number of new HIV infections
at any given budget level. The optimal allocation exercise
was conducted in Honduras, where the epidemic is still
concentrated in high-risk groups but has begun spreading
into the general population. Most transmissions occur
through heterosexual sex, followed by sex between men, and
mother-to-child transmission. Adult prevalence is estimated
at 1.4 percent. The optimization exercise involves several
steps:(a) choosing population subgroups targeted for
intervention; (b) estimating the proportion of each subgroup
that can be reached; (c) estimating the total number of new
infections expected in each subpopulation; (d) defining the
set of HIV prevention interventions to be considered; (e)
estimating the unit cost of each intervention; and (f)
estimating the expected effectiveness of each intervention.
Most of the data required to run the model has to be
guesstimated or derived from the literature. To address this
challenge, a group of some forty local and international
experts in HIV/AIDS met in Tegucigalpa in May 2002 and
arrived at the consensus estimates used in this exercise.
They based their estimates on data submitted by two local
epidemiologists who had conducted an extensive literature
search prior to the workshop. The results from this
collective exercise show that for limited HIV prevention
budgets (below $500,000), condom social marketing and condom
distribution prevent the maximum number of HIV infections.
If the HIV prevention budget is between $750,000 and $2.5
million, then Information Education and Communication (IEC)
targeted at high risk groups, HIV counseling and access to
rapid testing, and an information, education and
communications strategy (IEC) for the Garifunas should also
be part of the country's prevention strategy. The
exercise shows that some prevention interventions are
unattractive even when the HIV prevention budget increases
to $10 million.. |
| format |
Publications & Research :: Working Paper |
| author |
Beeharry, Girindre Schwab, Nicole Akhavan, Dariush Hernández, Rosalinda Paredes, Carla |
| author_facet |
Beeharry, Girindre Schwab, Nicole Akhavan, Dariush Hernández, Rosalinda Paredes, Carla |
| author_sort |
Beeharry, Girindre |
| title |
Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras |
| title_short |
Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras |
| title_full |
Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras |
| title_fullStr |
Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras |
| title_full_unstemmed |
Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras |
| title_sort |
optimizing the allocation of resources among hiv prevention interventions in honduras |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/06/3424559/optimizing-allocation-resources-among-hiv-prevention-interventions-honduras http://hdl.handle.net/10986/13689 |
| _version_ |
1764424445256007680 |
| spelling |
okr-10986-136892021-04-23T14:03:09Z Optimizing the Allocation of Resources among HIV Prevention Interventions in Honduras Beeharry, Girindre Schwab, Nicole Akhavan, Dariush Hernández, Rosalinda Paredes, Carla DISEASE PREVENTION & CONTROL DISEASE TRANSMISSION EPIDEMIC DISEASES AIDS INFECTIONS AIDS INTERVENTIONS AIDS PREVENTION HIV EDUCATION HIV INFECTION RATES HIV PREVENTION INTERVENTIONS HIV TESTING ALLOCATION ISSUES EPIDEMIOLOGICAL DATA EPIDEMIOLOGICAL INFORMATION EPIDEMIOLOGICAL SURVEILLANCE EPIDEMIOLOGICAL TRENDS EPIDEMIOLOGISTS HIGH RISK SEXUAL BEHAVIOR MOTHER CHILD TRANSMISSION MALE HOMOSEXUALITY HETEROSEXUALITY OUTREACH ACTIVITIES OUTREACH SERVICES DISEASE SURVEILLANCE INTERVENTION STRATEGIES HEALTH COUNSELING TESTING INFORMATION DISSEMINATION ACCOUNT ACQUIRED IMMUNE DEFICIENCY SYNDROME ADOLESCENTS ADULT PREVALENCE ADULT PREVALENCE RATE AIDS CASES AIDS ECONOMICS AIDS EPIDEMIC AIDS INCIDENCE ANTIRETROVIRAL DRUGS BEHAVIOR CHANGE BLOOD SAFETY CHILDBEARING COMMERCIAL SEX COMMERCIAL SEX WORKER COMMERCIAL SEX WORKERS CONDOM DISTRIBUTION CONDOM USE CONSISTENT CONDOM USE DISABILITY DRUGS EFFECTIVE PREVENTION EPIDEMIOLOGICAL SURVEILLANCE HEALTH HEALTH CARE HEALTH EXPENDITURE HETEROSEXUAL CONTACT HETEROSEXUAL SEX HETEROSEXUAL TRANSMISSION HIGH RISK GROUPS HIGH- RISK HIGH- RISK GROUPS HIGH-RISK HIGH-RISK GROUPS HIV HIV INFECTIONS HIV PREVALENCE HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HOSPITALIZATION HUMAN IMMUNODEFICIENCY VIRUS IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTIOUS DISEASES INJURIES INTERVENTION INTRAVENOUS DRUG USERS MALARIA MANAGERS MODE OF TRANSMISSION MORTALITY MORTALITY RATE MOTHER-CHILD TRANSMISSION MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NEW INFECTIONS NUTRITION NUTRITION OPPORTUNISTIC INFECTIONS ORPHANS PATIENTS PREVENTION AND CARE PREVENTION EFFORTS PREVENTION STRATEGIES PRIVATE SECTOR PUBLIC HEALTH PUBLIC SECTOR RELIGIOUS BODIES RISK BEHAVIOR RISK OF HIV TRANSMISSION SEX WITH MEN SEXUAL ENCOUNTERS SEXUAL ORIENTATION SOCIAL MARKETING SOCIAL VALUES STDS STIS TREATMENT AND CARE UNAIDS VIOLENCE WOMEN OF CHILDBEARING AGE WORKPLACE This paper presents a model that policymakers can use to determine the resource allocation that will prevent the maximum number of new HIV infections at any given budget level. The optimal allocation exercise was conducted in Honduras, where the epidemic is still concentrated in high-risk groups but has begun spreading into the general population. Most transmissions occur through heterosexual sex, followed by sex between men, and mother-to-child transmission. Adult prevalence is estimated at 1.4 percent. The optimization exercise involves several steps:(a) choosing population subgroups targeted for intervention; (b) estimating the proportion of each subgroup that can be reached; (c) estimating the total number of new infections expected in each subpopulation; (d) defining the set of HIV prevention interventions to be considered; (e) estimating the unit cost of each intervention; and (f) estimating the expected effectiveness of each intervention. Most of the data required to run the model has to be guesstimated or derived from the literature. To address this challenge, a group of some forty local and international experts in HIV/AIDS met in Tegucigalpa in May 2002 and arrived at the consensus estimates used in this exercise. They based their estimates on data submitted by two local epidemiologists who had conducted an extensive literature search prior to the workshop. The results from this collective exercise show that for limited HIV prevention budgets (below $500,000), condom social marketing and condom distribution prevent the maximum number of HIV infections. If the HIV prevention budget is between $750,000 and $2.5 million, then Information Education and Communication (IEC) targeted at high risk groups, HIV counseling and access to rapid testing, and an information, education and communications strategy (IEC) for the Garifunas should also be part of the country's prevention strategy. The exercise shows that some prevention interventions are unattractive even when the HIV prevention budget increases to $10 million.. 2013-05-30T15:44:15Z 2013-05-30T15:44:15Z 2002-06 http://documents.worldbank.org/curated/en/2002/06/3424559/optimizing-allocation-resources-among-hiv-prevention-interventions-honduras 1-932126-67-8 http://hdl.handle.net/10986/13689 English en_US Health, nutrition and population (HNP) discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Latin America & Caribbean Honduras |