Kazakhstan Can Achieve Ambitious HIV Targets Despite Expected Donor Withdrawal by Combining Improved ART Procurement Mechanisms with Allocative and Implementation Efficiencies

Kazakhstan Can Achieve Ambitious HIV Targets Despite Expected Donor Withdrawal by Combining Improved ART Procurement Mechanisms with Allocative and Implementation Efficiencies

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. We used the Optima model...

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Bibliographic Details
Main Authors: Shattock, Andrew J., Benedikt, Clemens, Bokazhanova, Aliya, Duric, Predrag, Petrenko, Irina, Ganina, Lolita, Kelly, Sherrie L., Stuart, Robyn M., Kerr, Cliff C., Vinichenko, Tatiana, Zhang, Shufang, Hamelmann, Christoph, Manova, Manoela, Masaki, Emiko, Wilson, David P., Gray, Richard T.
Format: Journal Article
Published: PLoS 2019
Subjects:
HIV AIDS
HIV EPIDEMIC
ANTI-RETROVIRAL THERAPY
HIV DIAGNOSIS
BUDGET
FISCAL TRENDS
FISCAL RISK
ALLOCATIVE EFFICIENCY
Online Access:http://hdl.handle.net/10986/31373
Description
Summary: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. 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.

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