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Related Experiment Videos

Allocating HIV-prevention resources: balancing efficiency and equity.

Edward H Kaplan1, Michael H Merson

  • 1Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn 06520, USA. edward.kaplan@yale.edu

American Journal of Public Health
|November 28, 2002
PubMed
Summary

To maximize HIV prevention, resources should be allocated by cost-effectiveness, not just reported cases. A balanced approach is needed to ensure both efficiency and equity in public health funding.

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Area of Science:

  • Public Health
  • Health Economics
  • Epidemiology

Background:

  • The primary objective of human immunodeficiency virus (HIV) prevention is to minimize new infections.
  • Current US federal HIV prevention resource allocation is based on reported acquired immunodeficiency syndrome (AIDS) cases, not cost-effectiveness.
  • This traditional allocation method may not be the most efficient strategy for preventing infections.

Purpose of the Study:

  • To advocate for a revised approach to allocating federal HIV prevention resources.
  • To explore a balanced strategy that integrates cost-effectiveness principles with equity considerations.
  • To improve the overall efficiency of HIV prevention efforts in the United States.

Main Methods:

  • Analysis of current HIV prevention resource allocation practices in the US.
Keywords:
Health Care and Public Health

Related Experiment Videos

  • Evaluation of cost-effectiveness principles in public health interventions.
  • Development of a framework for a hybrid allocation model balancing efficiency and equity.

    • Main Results:

    • Current allocation based on reported AIDS cases may be less efficient than a cost-effectiveness approach.
    • Pure cost-effectiveness allocation may conflict with established norms of equity.
    • A blended approach can potentially enhance both efficiency and equity in resource distribution.

    Conclusions:

    • Optimizing HIV prevention requires moving beyond simple case-based funding.
    • A middle-ground strategy balancing cost-effectiveness and equity is proposed for federal HIV prevention resource allocation.
    • Implementing such a strategy could lead to more infections prevented per dollar spent while upholding fairness.