Funding AIDS programmes in the era of shared responsibility: an analysis of domestic spending in 12 low-income and middle-income countries

Abstract

US Centers for Disease Control and Prevention.

Optimum resource allocation to reduce HIV incidence across sub-Saharan Africa: a mathematical modelling study

“…Assuming donor funding will continue to flatline 21 and avoiding assumptions around uncertain domestic growth, 7 we can suppose that the prevention share in HIV spending will approach 25% 22 and 90% of this will go toward scaling up current methods (vs. research into new methods). This generates a 'representative' expenditure of $20 billion over the 15-year period from 2016 to 2030.…”

“…4 Female sex workers (FSW) have an HIV prevalence as high as 60% in South Africa, 5 and limited data put prevalence among men who have sex with men (MSM) at 18% across the continent. 6 The distribution of domestic funding across countries in SSA directly reflects neither disease burden nor financial need, 7 whilst international donors vary in how they prioritise countries; but a better funding configuration has not been offered. Some previous studies have argued for targeting HIV treatment and prevention efforts by geography 8 or risk group, 9 and reaching marginalised high-risk populations is widely viewed as crucial to epidemic control.…”

Distributing development assistance for health: simulating the implications of 11 criteria

“…Candidate indicators include, for example, GNIpc, the Human Development Index (HDI), life expectancy at birth, under-five mortality rate (U5MR) and burden of disease. Need for assistance can also be understood in terms of the country's capacity to address domestic challenges and further develop without external assistance (Anderson, 2008;Guillaumont, 2008;Leo, 2010;Crosswell, 2015;Resch et al, 2015). Need criteria can overlap significantly with equity criteria (Guillaumont, 2008).…”

Ebola and the need for restructuring pharmaceutical incentives

“…Approaches include benchmarking against normative standards [14] such as the Abuja Targets (15% of government expenditure allocated to health sector), as well as comparison to peer countries' median effort [15] (eg, the UNAIDS Domestic Investment Priorities Index).…”