HIV/AIDSと闘うために必要な資金の批判
1Department of Food, Agricultural and Resource Economics, Ontario Agricultural College, University of Guelph, Guelph, ON, Canada. jgordon@gri.ca
Lancet (London, England)
|July 29, 2008
まとめ
HIV/AIDSプログラムのための財政的見積もりは,課題に直面しています. UNAIDSは,UNAIDSが運営している
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 公衆衛生は公衆衛生である.
- 健康経済学 医療経済学
背景:
- 低・中所得国におけるHIV/エイズプログラムに対する世界的な資金調達は,1996年から2007年にかけて大幅に増加した.
- 経済的な不確実性,世界的な食糧危機,およびパンデミック制御の進展に対する不満は,資金調達にリスクをもたらす.
- 治療と予防への普遍的なアクセスを推進しているため,資源に対する競争が増加することが予想されています.
研究 の 目的:
- HIV/AIDSのプログラム化のためのUNAIDSの2007年資源需要推定値の有用性を評価する.
- これらの見積もりの有用性を評価し,寄付国および受給国政府の予算計画と優先順位設定に役立てます.
- UNAIDSの見積もりにおける財務の透明性と優先順位設定の限界を特定する.
主な方法:
- HIV/AIDSプログラムのための資源需要に関するUNAIDSの2007年の推定値の分析.
- 政府の予算計画における概算の有用性の評価.
- 財務の透明性および優先順位設定のメカニズムにおける弱点を特定する.
主要な成果:
- 2007年のUNAIDSの見積もりは,予算を効果的に計画するのに十分ではないかもしれません.
- 財務の透明性や,見積もり内の優先順位設定で特定された弱点.
- 競合する需要によるリソースの必要性を正当化するためにUNAIDSに対する圧力が増加しました.
結論:
- HIV/AIDSプログラムの予算作成と優先順位設定の能力を高めるための勧告がなされています.
- 財政の透明性の向上とより明確な優先順位設定は,効果的な資源配分に不可欠です.
- この研究は,世界保健イニシアチブを支援するために,より堅実な推定方法の必要性を強調しています.
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