In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations

International investment in the response to HIV and AIDS has plateaued and its future level is uncertain. With many countries committed to ending the epidemic, it is essential to allocate available resources efficiently over different response periods to maximize impact. The objective of this study...

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Main Authors: Shattock, Andrew J., Kerr, Cliff C., Stuart, Robyn M., Masaki, Emiko, Fraser, Nicole, Benedikt, Clemens, Gorgens, Marelize, Wilson, David P., Gray, Richard T.
Format: Journal Article
Published: Wiley 2019
Subjects:
Online Access:http://hdl.handle.net/10986/31379
id okr-10986-31379
recordtype oai_dc
spelling okr-10986-313792021-05-25T10:54:37Z In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations Shattock, Andrew J. Kerr, Cliff C. Stuart, Robyn M. Masaki, Emiko Fraser, Nicole Benedikt, Clemens Gorgens, Marelize Wilson, David P. Gray, Richard T. HIV AIDS ALLOCATIVE EFFICIENCY BUDGETING HIV EPIDEMIC FISCAL POLICY HEALTH CARE FINANCING International investment in the response to HIV and AIDS has plateaued and its future level is uncertain. With many countries committed to ending the epidemic, it is essential to allocate available resources efficiently over different response periods to maximize impact. The objective of this study is to propose a technique to determine the optimal allocation of funds over time across a set of HIV programs to achieve desirable health outcomes. We developed a technique to determine the optimal time‐varying allocation of funds (1) when the future annual HIV budget is pre‐defined and (2) when the total budget over a period is pre‐defined, but the year‐on‐year budget is to be optimally determined. We use this methodology with Optima, an HIV transmission model that uses non‐linear relationships between program spending and associated programmatic outcomes to quantify the expected epidemiological impact of spending. We apply these methods to data collected from Zambia to determine the optimal distribution of resources to fund the right programs, for the right people, at the right time. 2019-03-12T20:40:33Z 2019-03-12T20:40:33Z 2016-02-23 Journal Article Journal of the International AIDS Society http://hdl.handle.net/10986/31379 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Wiley Publications & Research :: Journal Article Publications & Research Africa Zambia
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic HIV AIDS
ALLOCATIVE EFFICIENCY
BUDGETING
HIV EPIDEMIC
FISCAL POLICY
HEALTH CARE FINANCING
spellingShingle HIV AIDS
ALLOCATIVE EFFICIENCY
BUDGETING
HIV EPIDEMIC
FISCAL POLICY
HEALTH CARE FINANCING
Shattock, Andrew J.
Kerr, Cliff C.
Stuart, Robyn M.
Masaki, Emiko
Fraser, Nicole
Benedikt, Clemens
Gorgens, Marelize
Wilson, David P.
Gray, Richard T.
In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations
geographic_facet Africa
Zambia
description International investment in the response to HIV and AIDS has plateaued and its future level is uncertain. With many countries committed to ending the epidemic, it is essential to allocate available resources efficiently over different response periods to maximize impact. The objective of this study is to propose a technique to determine the optimal allocation of funds over time across a set of HIV programs to achieve desirable health outcomes. We developed a technique to determine the optimal time‐varying allocation of funds (1) when the future annual HIV budget is pre‐defined and (2) when the total budget over a period is pre‐defined, but the year‐on‐year budget is to be optimally determined. We use this methodology with Optima, an HIV transmission model that uses non‐linear relationships between program spending and associated programmatic outcomes to quantify the expected epidemiological impact of spending. We apply these methods to data collected from Zambia to determine the optimal distribution of resources to fund the right programs, for the right people, at the right time.
format Journal Article
author Shattock, Andrew J.
Kerr, Cliff C.
Stuart, Robyn M.
Masaki, Emiko
Fraser, Nicole
Benedikt, Clemens
Gorgens, Marelize
Wilson, David P.
Gray, Richard T.
author_facet Shattock, Andrew J.
Kerr, Cliff C.
Stuart, Robyn M.
Masaki, Emiko
Fraser, Nicole
Benedikt, Clemens
Gorgens, Marelize
Wilson, David P.
Gray, Richard T.
author_sort Shattock, Andrew J.
title In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations
title_short In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations
title_full In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations
title_fullStr In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations
title_full_unstemmed In the Interests of Time : Improving HIV Allocative Efficiency Modelling via Optimal Time-Varying Allocations
title_sort in the interests of time : improving hiv allocative efficiency modelling via optimal time-varying allocations
publisher Wiley
publishDate 2019
url http://hdl.handle.net/10986/31379
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