低所得国および中所得国におけるHIV/AIDSプログラム拡大拡大の資金調達,2009年~31年
Robert Hecht1, John Stover, Lori Bollinger
1Results for Development Institute, Washington, DC 20009, USA. rhecht@resultsfor
Lancet (London, England)
|October 12, 2010
まとめ
世界のHIV/AIDSの資金調達需要は,2031年までに3970億ドルから722億ドルに及ぶ. 各国の資金調達能力は異なるが,低所得国は,HIV/エイズ対策のための外部援助に依存し続けるだろう.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 公共衛生経済学 公共衛生経済学
- 資源動員 資源動員
背景:
- ヒト免疫不全ウイルス/獲得免疫不全症候群 (HIV/AIDS) パンデミックは,世界的な健康と経済に重大な課題をもたらしています.
- 効率的な資源の動員と管理は,HIV/AIDSへの対応の持続的な取り組みにとって極めて重要です.
- HIV/AIDSの流行に伴う変化するニーズに対応するために,長期的な財政計画が不可欠です.
研究 の 目的:
- 開発途上国におけるHIV/エイズに対する長期的な資金調達要件をモデル化するため.
- 個々の開発途上国および国際的ドナーによる財政的貢献を分析する.
- 異なる政策シナリオに基づいて将来の資金調達軌道を計画する.
主な方法:
- aids2031プロジェクトモデルを利用して,グローバルおよび国別のHIV/AIDS資金調達ニーズを予測しました.
- 政府とドナーの政策選択に基づいて,コストが変動する複数のシナリオを開発しました.
- 15の代表的な開発途上国の予防,治療,緩和戦略を分析した.
主要な成果:
- 推定の世界的なHIV/AIDSの資金調達需要は,2009年から2031年にかけての3970億から722億米ドルです.
- 所得水準とHIV/AIDSの負担に基づいて,開発途上国の異なる金融の将来を特定しました.
- HIV/AIDSの負担が低い中所得国は,自給自足できるが,低所得で負担が大きい国は,継続的な外部支援を必要としている.
結論:
- 開発途上国は,HIV/AIDSに対する対応において,ますます多様な財政的責任に直面することになる.
- 予防と治療の効率化に向けた戦略的投資により,HIV感染率が高い中所得国によっては,外部資金への依存を減らすことができる.
- HIV/AIDSの負担が大きい低所得国にとって,継続的な国際的支援は依然として極めて重要です.
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