为了有效应对艾滋病毒/艾滋病,改进投资方法
Bernhard Schwartländer1, John Stover, Timothy Hallett
1Joint United Nations Programme on HIV/AIDS, Geneva, Switzerland. schwartlanderb@unaids.org
Lancet (London, England)
|June 7, 2011
概括
为应对艾滋病毒/艾滋病提出了一项新的战略投资框架,重点关注效率和预防. 这种方法旨在避免数以百万计的感染和死亡,提供显著的长期红利.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 目前的艾滋病毒/艾滋病资源分配缺乏战略目标.
- 以前的倡导依赖于一种"商品方法",扩展了许多策略,但没有优先考虑有效性.
- 需要更有针对性和战略性的投资方法,才能在应对艾滋病毒/艾滋病方面获得长期红利.
研究的目的:
- 为改善国家和国际艾滋病毒/艾滋病应对措施的管理提出战略投资框架.
- 确定艾滋病毒/艾滋病计划中的效率提升和协同效应.
- 评估一个新的投资框架的成本效益.
主要方法:
- 制定一个战略投资框架,包括社区动员,计划协同作用和预防的抗逆转录病毒疗法.
- 将投资划分为三个层次:基本的计划性活动,使环境干预成为可能的干预措施,以及相关的卫生/发展部门努力.
- 估计到2015年普及艾滋病毒接入的成本,以及对感染,死亡和寿命增长的预计影响.
主要成果:
- 拟议的框架整合了社区动员和预防抗逆转录病毒疗法的效率增长.
- 预计到2015年,普及艾滋病毒接入的年度成本至少为220亿美元.
- 实施预计将在2011-2020年期间避免1220万例新的艾滋病毒感染和740万例艾滋病死亡.
- 生命年数 (29.400万) 和成本效益 (每生命年获得的1060美元) 显著增加.
结论:
- 拟议的战略投资框架为艾滋病毒/艾滋病的应对提供了一个更有效的管理系统.
- 该框架表现出相当大的成本效益,潜在的节约抵消了额外的投资.
- 通过这种战略方法可以实现显著的公共卫生效益,包括避免感染和死亡.
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