Resource allocation for HIV/AIDS control programs: a model-based policy analysis

Abstract

The World Health Organization reported that in 1996, for the first time in the course of the AIDS epidemic, there had been a marked decrease in deaths among people with AIDS in many industrialized countries due to the administration of advanced drug therapies and the performance of prevention programs. In response to such changes, policy makers can use our strategic decision support system to determine cost-effective prevention programs. We illustrate the model by analyzing the administration of advanced drug therapies combined with different assumptions for the behavior of the population of Vienna. We estimate that the city of Vienna will have to provide at most 5.6 billion Austrian Schillings for drug therapies, additional treatment, and HIV screening during the period from 1996 to 2005, depending on whether or not these more costly drug therapies reduce the additional treatment costs of HIV-infected and AIDS-diseased individuals.

Literature review: The vaccine supply chain

“…Epidemic models are used to determine the effect of certain interventions on the time course of an epidemic, and on the number of infected cases etc. Some studies aim at comparing a predefined set of interventions and determine which are cost-effective (Frerichs and Prawda, 1975;Edwards et al, 1998;Rauner, 2002;Hutton et al, 2011). Others try to find the optimal actions under budget constraints (Dimitrov et al, 2013).…”

“…The allocation of vaccines has been studied for a broad range of diseases, which is also apparent from the papers that apply cost-effectiveness analyses to analyze vaccine allocations. Already in the OR/OM community there are studies on hepatitis B (Hutton et al, 2011), HIV (Edwards et al, 1998;Rauner, 2002), malaria (Parker, 1983;Dimitrov et al, 2013), polio (Thompson et al, 2015), rabies (Frerichs and Prawda, 1975), and tuberculosis (Reveller et al, 1969;Denysiuk et al, 2015).…”

Health systems’ responses to 25 years of HIV in Europe: Inequities persist and challenges remain

“…Even in richer western European countries, there are still funding shortfalls [33,34] with inequities in resource allocation.…”

OM Forum—Pandemics/Epidemics: Challenges and Opportunities for Operations Management Research

“…In their experiments, the authors implement their suggested DSS on a prototype to provide surveillance of a flu pandemic in Italy. Rauner (2002) designs and implements a DSS for resource allocation for HIV/AIDS control programs that works based on a system dynamics model and simulation. The system dynamics model consists of several compartments showing different populations in terms of their health situation (infected or non-infected), gender, age, behavior (i.e., intravenous drug user, homosexuality, or prostitution), testing status, etc.…”