Optimizing Investments in the National HIV Response of Mexico
Despite a substantial improvement in controlling new infections of HIV over the last ten years, Mexico is experiencing a low-level epidemic with approximately 180,000 people living with HIV (Spectrum, 2013), making it the fourth ranking country in...
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| Format: | Working Paper |
| Language: | English |
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World Bank, Washington, DC
2018
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| Online Access: | http://documents.worldbank.org/curated/en/589341525774988849/Optimizing-investments-in-the-national-HIV-response-of-Mexico http://hdl.handle.net/10986/29821 |
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okr-10986-298212021-09-16T23:43:10Z Optimizing Investments in the National HIV Response of Mexico Gutierrez, Catalina Lavadenz, Fernando Macias, Claudia Petravic, Janka Lavadenz, Luis HIV AIDS HEALTH EXPENDITURE HIV EPIDEMIC ALLOCATIVE EFFICIENCY HIV FINANCING TREATMENT COST ANTI-RETROVIRAL THERAPY HEALTH FINANCE Despite a substantial improvement in controlling new infections of HIV over the last ten years, Mexico is experiencing a low-level epidemic with approximately 180,000 people living with HIV (Spectrum, 2013), making it the fourth ranking country in Latin America with regards to the number of people with the disease (PLHIV). The objective of increasing coverage and reducing inequality in the country is reflected in the objectives of the Specific Action Program (PAE) for the national response to HIV, AIDS and STI of 2013-2018 (Secretaria de salud), which seeks to decrease the effect of HIV and STIs, implement prevention strategies and provide comprehensive care for vulnerable population groups and those living in poverty. The possibility of achieving the objectives of the PAE is closely related to the total amount of resources that Mexico can commit to fighting HIV and the way these resources are allocated. In the hopes of assisting the Government of Mexico in further strengthening its HIV investment, the authors try to answer the question How can HIV funding be optimally allocated to the combination of HIV response interventions that will yield the highest impact in the shortest period. The study found that despite the overall greater costs of treatment with ART, this is the most cost-effective program. ART not only reduces deaths but is an effective measure to prevent new infections due to the reduction of viral load to undetectable levels. As such, the most cost-effective allocation – with no additional resources of current Program funds, is to scale up treatment, by about 4 to 8 percent, to maximize ART coverage while slightly reducing overall allocations to general population prevention.This slight increase would avert 4,235 deaths and 3,371 new infections, and improve health outcomes by around 6 percent. To increase the value-for-money of existing resources, allocation efficiency would also require the strengthening of CENSIDA´s stewardship role, to ensure that the funds transferred are invested as they were initially earmarked. 2018-05-15T17:11:29Z 2018-05-15T17:11:29Z 2018-03 Working Paper http://documents.worldbank.org/curated/en/589341525774988849/Optimizing-investments-in-the-national-HIV-response-of-Mexico http://hdl.handle.net/10986/29821 English Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Latin America & Caribbean Mexico |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
HIV AIDS HEALTH EXPENDITURE HIV EPIDEMIC ALLOCATIVE EFFICIENCY HIV FINANCING TREATMENT COST ANTI-RETROVIRAL THERAPY HEALTH FINANCE |
| spellingShingle |
HIV AIDS HEALTH EXPENDITURE HIV EPIDEMIC ALLOCATIVE EFFICIENCY HIV FINANCING TREATMENT COST ANTI-RETROVIRAL THERAPY HEALTH FINANCE Gutierrez, Catalina Lavadenz, Fernando Macias, Claudia Petravic, Janka Lavadenz, Luis Optimizing Investments in the National HIV Response of Mexico |
| geographic_facet |
Latin America & Caribbean Mexico |
| relation |
Health, Nutrition and Population Discussion Paper; |
| description |
Despite a substantial improvement in
controlling new infections of HIV over the last ten years,
Mexico is experiencing a low-level epidemic with
approximately 180,000 people living with HIV (Spectrum,
2013), making it the fourth ranking country in Latin America
with regards to the number of people with the disease
(PLHIV). The objective of increasing coverage and reducing
inequality in the country is reflected in the objectives of
the Specific Action Program (PAE) for the national response
to HIV, AIDS and STI of 2013-2018 (Secretaria de salud),
which seeks to decrease the effect of HIV and STIs,
implement prevention strategies and provide comprehensive
care for vulnerable population groups and those living in
poverty. The possibility of achieving the objectives of the
PAE is closely related to the total amount of resources that
Mexico can commit to fighting HIV and the way these
resources are allocated. In the hopes of assisting the
Government of Mexico in further strengthening its HIV
investment, the authors try to answer the question How can
HIV funding be optimally allocated to the combination of HIV
response interventions that will yield the highest impact in
the shortest period. The study found that despite the
overall greater costs of treatment with ART, this is the
most cost-effective program. ART not only reduces deaths but
is an effective measure to prevent new infections due to the
reduction of viral load to undetectable levels. As such, the
most cost-effective allocation – with no additional
resources of current Program funds, is to scale up
treatment, by about 4 to 8 percent, to maximize ART coverage
while slightly reducing overall allocations to general
population prevention.This slight increase would avert 4,235
deaths and 3,371 new infections, and improve health outcomes
by around 6 percent. To increase the value-for-money of
existing resources, allocation efficiency would also require
the strengthening of CENSIDA´s stewardship role, to ensure
that the funds transferred are invested as they were
initially earmarked. |
| format |
Working Paper |
| author |
Gutierrez, Catalina Lavadenz, Fernando Macias, Claudia Petravic, Janka Lavadenz, Luis |
| author_facet |
Gutierrez, Catalina Lavadenz, Fernando Macias, Claudia Petravic, Janka Lavadenz, Luis |
| author_sort |
Gutierrez, Catalina |
| title |
Optimizing Investments in the National HIV Response of Mexico |
| title_short |
Optimizing Investments in the National HIV Response of Mexico |
| title_full |
Optimizing Investments in the National HIV Response of Mexico |
| title_fullStr |
Optimizing Investments in the National HIV Response of Mexico |
| title_full_unstemmed |
Optimizing Investments in the National HIV Response of Mexico |
| title_sort |
optimizing investments in the national hiv response of mexico |
| publisher |
World Bank, Washington, DC |
| publishDate |
2018 |
| url |
http://documents.worldbank.org/curated/en/589341525774988849/Optimizing-investments-in-the-national-HIV-response-of-Mexico http://hdl.handle.net/10986/29821 |
| _version_ |
1764470473757818880 |