1 / 22

“In a situation where we don’t know better, we do everything or just what we like …”

“Towards an improved investment approach for an effective response to HIV “ The Lancet, June 3, 2011 www.thelancet.com.

ziv
Download Presentation

“In a situation where we don’t know better, we do everything or just what we like …”

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. “Towards an improved investment approach for an effective response to HIV “The Lancet, June 3, 2011www.thelancet.com

  2. Moving from a commodity approach:“Fund some of everything” or“Fund what is comfortable”toAn Investment approach:“Fund evidenced-based activities specific to the needs of your epidemic to get better long term results at lower costs.”

  3. “In a situation where we don’t know better, we do everything or just what we like …”

  4. Three Categories of Investment: • Six basic programmatic activities • Critical interventions that create an enabling environment for achieving maximum impact; and • Programmatic efforts in wider health and development sectors related to AIDS. • Rights-based approach to all services and policies

  5. Basic programme activities • Activities that have a direct impact on reducing HIV transmission, morbidity and mortality to be scaled up according to size of relevant affected population • Interventions that directly affect incidence, morbidity and mortality (eg. ART, MC, NSP) • Complex interventions for which there is plausible evidence (eg. behaviour change programmes)

  6. Basic Program Activities Based on high level evidence of effectiveness. • Treatment, care and support • Vertical Transmission prevention • Condom procurement and distribution • Key populations programs (MSM, IDU, Sex Workers) • Male circumcision • Behavior Change programs

  7. Critical Enablers Social Enablers - make possible environments conducive for sound AIDS responses: • outreach for HIV testing • treatment literacy, • stigma reduction, • advocacy to protect human rights • monitoring of the equity and quality of programme access and results

  8. Critical Enablers Program Enablers - create demand for and help improve the performance of key interventions: • incentives for engagement in health services • methods to improve retention on ART • capacity building for community-based organizational development • strategic planning • communications infrastructure • information dissemination • efforts to improve service integration and linkages from testing to care.

  9. Synergies with other development sectors • Health systems and multiple health issues • Gender equality efforts • Education and justice sectors • Social protection and welfare • Food security • Community systems

  10. What is the Role of Community Mobilization in this Framework? • Community-driven outreach and engagement activities that connect people facing similar issues and engage them in HIV-related interventions • Supportactivities to enhance quality, adherence and impact in a range of settings such as people on treatment, engaged in harm reductionor drug treatment services, or who are using sexual and reproductive health services • Advocacy, transparency and accountability efforts at country and local levels to ensure that high-quality health services are available and accessible to vulnerable populations.

  11. What can we achieve?Universal Access by 2015

  12. Projections and Estimates • Resource needs and returns on investment were estimated for 139 low- and middle-income countries • Estimates based on the cost of increasing from current levels of coverage in 2011 to achieve universal access target coverage levels by 2015 and maintain them thereafter. (Includes 1st and 2nd line treatment.) • Each of the basic programme activities in the framework was applied to relevant populations according to their demographic and epidemiological situation including the distribution of new HIV infections by mode of transmission as detailed in the literature.

  13. Reaching people with servicesExamples for 2015

  14. Returns for InvestmentMore than 12 million Infections averted

  15. Return on investment of the new investment framework (2011-2020)

  16. Achieving global goals by 2015 • Elimination of new infections in children • Sexual transmission down by half • TB deaths down by half • AIDS related maternal mortality down by half • 14 million PLHIV on treatment

  17. What will it cost?What are the returns?

  18. Financial requirements (Billions of US$)

  19. Economic returns between 2011 to 2020

More Related