Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency
Ukraine experiences one of the most severe HIV epidemics in Europe. This policy brief is a result of a team effort involving the State Institution Ukrainian Center for Socially Dangerous Disease Control of the MOH of Ukraine, and international part...
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| Format: | Report |
| Language: | English en_US |
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World Bank, Washington, DC
2016
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| Online Access: | http://documents.worldbank.org/curated/en/2016/01/26411947/value-money-ukraine’s-hiv-response-strategic-investment-improved-efficiency http://hdl.handle.net/10986/24769 |
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okr-10986-247692021-05-25T08:49:25Z Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency World Bank Group RISKS TREATMENT DIAGNOSIS SEX WORKERS LOCAL AUTHORITIES MOTHER-TO-CHILD TRANSMISSION SEXUAL PARTNERS DEATHS PREVENTION DISEASE BURDEN DRUG INJECTION LOCAL GOVERNMENTS SEXUAL HEALTH RESOURCE ALLOCATION HEALTH CARE DRUGS DEATH PREVALENCE HIV PREVENTION EFFECTS HEALTH TRANSMISSION EPIDEMIC VIRUSES NUMBER OF PEOPLE POPULATION SIZE HEALTH FACILITIES SEXUAL TRANSMISSION LIFE EXPECTANCY HEALTH SECTOR INSTITUTIONAL MECHANISMS MINISTRY OF HEALTH NATIONAL AIDS AIDS EPIDEMIC LIFE PATIENTS INTERVENTION GLOBAL CONSENSUS NEGATIVE EFFECTS HIV INFECTION PREVENTION OF MOTHER-TO-CHILD TRANSMISSION CONDOM USE TUBERCULOSIS SCREENING SERVICE DELIVERY GLOBAL HEALTH HIV/AIDS EPIDEMICS MORTALITY ALLOCATION OF RESOURCES COUNSELLING HIV TESTING FEMALE SEX WORKERS AIDS SPENDING AIDS DEATHS DIAGNOSES MOTHER-TO-CHILD NEEDLES WORKERS NEEDLE SHARING SOCIAL SERVICES HIV TB SEX WITH MEN HEALTH OUTCOMES PREVENTION INTERVENTIONS REGIONAL INITIATIVES POPULATIONS UNAIDS DRUG USE MOTHER BULLETIN POLICY BURDEN OF DISEASE PRIMARY HEALTH CARE REST THERAPY HEPATITIS DIAGNOSTICS INTERNET RISK FACTORS HEALTH SYSTEM NEW INFECTIONS SEX POLICY BRIEF PREGNANT WOMEN HIV TRANSMISSION CASUAL SEX GOVERNMENT AGENCIES FEMALES DISEASE DISEASE CONTROL GENERIC DRUGS NATIONAL PLAN ISOLATION PARTNERS CONDOM INFECTION DISABILITY INFECTIONS LIMITED RESOURCES ALL POPULATION VISION STRATEGY MALES POPULATION DATA WOMEN HIV INFECTIONS AIDS FEMALE IMPLEMENTATION AIDS PROGRAM VIRAL LOAD Ukraine experiences one of the most severe HIV epidemics in Europe. This policy brief is a result of a team effort involving the State Institution Ukrainian Center for Socially Dangerous Disease Control of the MOH of Ukraine, and international partners. The study was part of the regional initiatives on HIV allocative efficiency analysisi and funded and technically supported by the World Bank and UNAIDS. We greatly acknowledge the contributions of all the team members, stakeholders and other partners. There are major opportunities, but also major risks in relation to HIV investment decisions in Ukraine in the coming five years. While decreasing funding would lead to a marked increase in deaths, new infections and future health care costs, a smart approach to increasing HIV investment, could avert around half of the new infections and deaths up to 2030 compared to business as usual. The keys to success are (1) scaling up ART; (2) reforming procurement to reduce unit costs for drugs and diagnostics; (3) sustaining prevention programs for key populations and further enhancing coverage with strong geographical prioritization; (4) establishing domestic financing and management of community systems for prevention and adherence support; and (5) strengthen integration with other health, social and drug-use treatment programs. Bold and immediate investment in the mentioned key programs and measures to improve efficiency are needed to avoid large increases in future health care cost and, most importantly, prevent over 150,000 new infections and save over 110,000 lives by 2030. 2016-08-02T20:50:32Z 2016-08-02T20:50:32Z 2016 Report http://documents.worldbank.org/curated/en/2016/01/26411947/value-money-ukraine’s-hiv-response-strategic-investment-improved-efficiency http://hdl.handle.net/10986/24769 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Europe and Central Asia Ukraine |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
RISKS TREATMENT DIAGNOSIS SEX WORKERS LOCAL AUTHORITIES MOTHER-TO-CHILD TRANSMISSION SEXUAL PARTNERS DEATHS PREVENTION DISEASE BURDEN DRUG INJECTION LOCAL GOVERNMENTS SEXUAL HEALTH RESOURCE ALLOCATION HEALTH CARE DRUGS DEATH PREVALENCE HIV PREVENTION EFFECTS HEALTH TRANSMISSION EPIDEMIC VIRUSES NUMBER OF PEOPLE POPULATION SIZE HEALTH FACILITIES SEXUAL TRANSMISSION LIFE EXPECTANCY HEALTH SECTOR INSTITUTIONAL MECHANISMS MINISTRY OF HEALTH NATIONAL AIDS AIDS EPIDEMIC LIFE PATIENTS INTERVENTION GLOBAL CONSENSUS NEGATIVE EFFECTS HIV INFECTION PREVENTION OF MOTHER-TO-CHILD TRANSMISSION CONDOM USE TUBERCULOSIS SCREENING SERVICE DELIVERY GLOBAL HEALTH HIV/AIDS EPIDEMICS MORTALITY ALLOCATION OF RESOURCES COUNSELLING HIV TESTING FEMALE SEX WORKERS AIDS SPENDING AIDS DEATHS DIAGNOSES MOTHER-TO-CHILD NEEDLES WORKERS NEEDLE SHARING SOCIAL SERVICES HIV TB SEX WITH MEN HEALTH OUTCOMES PREVENTION INTERVENTIONS REGIONAL INITIATIVES POPULATIONS UNAIDS DRUG USE MOTHER BULLETIN POLICY BURDEN OF DISEASE PRIMARY HEALTH CARE REST THERAPY HEPATITIS DIAGNOSTICS INTERNET RISK FACTORS HEALTH SYSTEM NEW INFECTIONS SEX POLICY BRIEF PREGNANT WOMEN HIV TRANSMISSION CASUAL SEX GOVERNMENT AGENCIES FEMALES DISEASE DISEASE CONTROL GENERIC DRUGS NATIONAL PLAN ISOLATION PARTNERS CONDOM INFECTION DISABILITY INFECTIONS LIMITED RESOURCES ALL POPULATION VISION STRATEGY MALES POPULATION DATA WOMEN HIV INFECTIONS AIDS FEMALE IMPLEMENTATION AIDS PROGRAM VIRAL LOAD |
| spellingShingle |
RISKS TREATMENT DIAGNOSIS SEX WORKERS LOCAL AUTHORITIES MOTHER-TO-CHILD TRANSMISSION SEXUAL PARTNERS DEATHS PREVENTION DISEASE BURDEN DRUG INJECTION LOCAL GOVERNMENTS SEXUAL HEALTH RESOURCE ALLOCATION HEALTH CARE DRUGS DEATH PREVALENCE HIV PREVENTION EFFECTS HEALTH TRANSMISSION EPIDEMIC VIRUSES NUMBER OF PEOPLE POPULATION SIZE HEALTH FACILITIES SEXUAL TRANSMISSION LIFE EXPECTANCY HEALTH SECTOR INSTITUTIONAL MECHANISMS MINISTRY OF HEALTH NATIONAL AIDS AIDS EPIDEMIC LIFE PATIENTS INTERVENTION GLOBAL CONSENSUS NEGATIVE EFFECTS HIV INFECTION PREVENTION OF MOTHER-TO-CHILD TRANSMISSION CONDOM USE TUBERCULOSIS SCREENING SERVICE DELIVERY GLOBAL HEALTH HIV/AIDS EPIDEMICS MORTALITY ALLOCATION OF RESOURCES COUNSELLING HIV TESTING FEMALE SEX WORKERS AIDS SPENDING AIDS DEATHS DIAGNOSES MOTHER-TO-CHILD NEEDLES WORKERS NEEDLE SHARING SOCIAL SERVICES HIV TB SEX WITH MEN HEALTH OUTCOMES PREVENTION INTERVENTIONS REGIONAL INITIATIVES POPULATIONS UNAIDS DRUG USE MOTHER BULLETIN POLICY BURDEN OF DISEASE PRIMARY HEALTH CARE REST THERAPY HEPATITIS DIAGNOSTICS INTERNET RISK FACTORS HEALTH SYSTEM NEW INFECTIONS SEX POLICY BRIEF PREGNANT WOMEN HIV TRANSMISSION CASUAL SEX GOVERNMENT AGENCIES FEMALES DISEASE DISEASE CONTROL GENERIC DRUGS NATIONAL PLAN ISOLATION PARTNERS CONDOM INFECTION DISABILITY INFECTIONS LIMITED RESOURCES ALL POPULATION VISION STRATEGY MALES POPULATION DATA WOMEN HIV INFECTIONS AIDS FEMALE IMPLEMENTATION AIDS PROGRAM VIRAL LOAD World Bank Group Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency |
| geographic_facet |
Europe and Central Asia Ukraine |
| description |
Ukraine experiences one of the most
severe HIV epidemics in Europe. This policy brief is a
result of a team effort involving the State Institution
Ukrainian Center for Socially Dangerous Disease Control of
the MOH of Ukraine, and international partners. The study
was part of the regional initiatives on HIV allocative
efficiency analysisi and funded and technically supported by
the World Bank and UNAIDS. We greatly acknowledge the
contributions of all the team members, stakeholders and
other partners. There are major opportunities, but also
major risks in relation to HIV investment decisions in
Ukraine in the coming five years. While decreasing funding
would lead to a marked increase in deaths, new infections
and future health care costs, a smart approach to increasing
HIV investment, could avert around half of the new
infections and deaths up to 2030 compared to business as
usual. The keys to success are (1) scaling up ART; (2)
reforming procurement to reduce unit costs for drugs and
diagnostics; (3) sustaining prevention programs for key
populations and further enhancing coverage with strong
geographical prioritization; (4) establishing domestic
financing and management of community systems for prevention
and adherence support; and (5) strengthen integration with
other health, social and drug-use treatment programs. Bold
and immediate investment in the mentioned key programs and
measures to improve efficiency are needed to avoid large
increases in future health care cost and, most importantly,
prevent over 150,000 new infections and save over 110,000
lives by 2030. |
| format |
Report |
| author |
World Bank Group |
| author_facet |
World Bank Group |
| author_sort |
World Bank Group |
| title |
Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency |
| title_short |
Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency |
| title_full |
Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency |
| title_fullStr |
Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency |
| title_full_unstemmed |
Value for Money in Ukraine’s HIV Response : Strategic Investment and Improved Efficiency |
| title_sort |
value for money in ukraine’s hiv response : strategic investment and improved efficiency |
| publisher |
World Bank, Washington, DC |
| publishDate |
2016 |
| url |
http://documents.worldbank.org/curated/en/2016/01/26411947/value-money-ukraine’s-hiv-response-strategic-investment-improved-efficiency http://hdl.handle.net/10986/24769 |
| _version_ |
1764457466322485248 |