1 / 13

Resource Needs for Prevention

Resource Needs for Prevention. Types of prevention. 14 prevention interventions, including: Youth focused interventions Interventions focused on sex workers and their clients Condom provision (commercial and public) Improving STI management Voluntary Counseling and Testing

bernadine
Download Presentation

Resource Needs for Prevention

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Resource Needs for Prevention

  2. Types of prevention • 14 prevention interventions, including: • Youth focused interventions • Interventions focused on sex workers and their clients • Condom provision (commercial and public) • Improving STI management • Voluntary Counseling and Testing • Workplace programs • Blood safety • Prevention of mother-to-child transmission • Mass media • Harm reduction programs • Interventions focused on men who have sex with men • Post-exposure prophylaxis • Safe injections • Universal precautions

  3. Default Values

  4. Basic principles • Three factors: • Population target group • Access • Per patient cost (annual or life-time) • Total cost = Persons needing treatment X % needing treatment with access to it X unit cost of the treatment

  5. People needing care • The annual cohort that requires attention are those people living with HIV who are newly symptomatic • Plus: • Survivors on treatment • Survivors without treatment

  6. One-time costs • Palliative and OI treatment costs • Lifetime costs counted once • HIV testing • One-time cost for diagnosis prior to OI treatment • Default unit cost include counseling costs

  7. Ongoing treatment • Those needing ongoing treatment (ARV and OI prophylaxis) include: • Percentage of newly symptomatic • 100% of those treated last year who survive

  8. Current access • Palliative care coverage is estimated using access to other health services • OI tx, OI prophylaxis & ARV estimated from coverage survey (and 3x5 data)

  9. Growth rates • Once the baseline has been estimated, growth capacity of services are estimated • Growth rates estimated using growth between 2004 and 2005 • Maximum feasible coverage defined at 85% • Cap on coverage affects newly needing but not survivors on treatment

  10. How many years? • Expected life extension is uncertain • Model assumes 3-5 additional years of life from ARVs

  11. Total costs • Total costs = The number of persons receiving treatment for each year (newly requiring treatment plus those surviving, if relevant) * per patient cost of treatment

  12. Regional distribution, 2008 1% 7% 15% 55% 17% 5% Africa S/SE Asia E Asia/Pac LAC E Europe NA/ME

  13. Distribution by intervention, 2008 2% 6% <1% 13% 10% 69% Palliative Testing OI Tx OI Proph ARVs ARVs Labs

More Related