Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study

This allocative efficiency analysis intended to assess Mozambique's progress towards TB strategic targets, and provide decision support for TB strategy using a combined TB epidemiological component and an economic and program analysis framewor...

Full description

Bibliographic Details
Main Authors:	Mozambique National TB Program, World Bank, Optima Consortium for Decision Sciences, Burnet Institute
Format:	Report
Language:	English
Published:	World Bank, Washington, DC 2020
Subjects:	TUBERCULOSIS EPIDEMIC DEMOGRAPHIC TRENDS HIV ANTIRETROVIRAL THERAPY
Online Access:	http://documents.worldbank.org/curated/en/576571591894623493/Optimizing-Investments-in-Mozambiques-Tuberculosis-Response-Results-of-a-Tuberculosis-Efficiency-Study http://hdl.handle.net/10986/33907

id	okr-10986-33907
recordtype	oai_dc
spelling	okr-10986-339072021-05-25T09:54:53Z Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study Mozambique National TB Program World Bank Optima Consortium for Decision Sciences Burnet Institute TUBERCULOSIS EPIDEMIC DEMOGRAPHIC TRENDS HIV ANTIRETROVIRAL THERAPY This allocative efficiency analysis intended to assess Mozambique's progress towards TB strategic targets, and provide decision support for TB strategy using a combined TB epidemiological component and an economic and program analysis framework (Optima TB). Input data were collected from NTP sources, the WHO, and various TB implementers. Our model indicates declining future trends in TB prevalence, incidence and related deaths. However, the case detection rate (52 percent) remains one of the biggest hurdles. Mozambique, however, could cut TB prevalence and TB deaths by 20 percent, and TB incidence by 11 percent by allocating resources optimally. Specifically, this would entail (i) doubling the rate of household contact tracing for notified cases, (ii) screening all PLHIV during their routine outpatient visits, and (iii) focusing on community outreach activities among key populations such as prisoners, cross-border miners and community health workers. In addition, scaling up ART coverage from 55 percent (current/ 2017) to 90 percent by 2035 is projected to reduce new TB cases among PLHIV by over 50 percent (in 2035). Furthermore, our analysis shows that higher levels of TB spending lead to more rapid reductions in TB incidence. However, the rates of reduction associated with large increases in expenditure (up to 200 percent of current spending levels) begin to slow in the medium term and it is unlikely that the national TB response can deliver on the 2025 milestones and 2035 End-TB targets. 2020-06-15T16:00:37Z 2020-06-15T16:00:37Z 2020 Report http://documents.worldbank.org/curated/en/576571591894623493/Optimizing-Investments-in-Mozambiques-Tuberculosis-Response-Results-of-a-Tuberculosis-Efficiency-Study http://hdl.handle.net/10986/33907 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work Economic & Sector Work :: Other Health Study Africa Mozambique
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	TUBERCULOSIS EPIDEMIC DEMOGRAPHIC TRENDS HIV ANTIRETROVIRAL THERAPY
spellingShingle	TUBERCULOSIS EPIDEMIC DEMOGRAPHIC TRENDS HIV ANTIRETROVIRAL THERAPY Mozambique National TB Program World Bank Optima Consortium for Decision Sciences Burnet Institute Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study
geographic_facet	Africa Mozambique
description	This allocative efficiency analysis intended to assess Mozambique's progress towards TB strategic targets, and provide decision support for TB strategy using a combined TB epidemiological component and an economic and program analysis framework (Optima TB). Input data were collected from NTP sources, the WHO, and various TB implementers. Our model indicates declining future trends in TB prevalence, incidence and related deaths. However, the case detection rate (52 percent) remains one of the biggest hurdles. Mozambique, however, could cut TB prevalence and TB deaths by 20 percent, and TB incidence by 11 percent by allocating resources optimally. Specifically, this would entail (i) doubling the rate of household contact tracing for notified cases, (ii) screening all PLHIV during their routine outpatient visits, and (iii) focusing on community outreach activities among key populations such as prisoners, cross-border miners and community health workers. In addition, scaling up ART coverage from 55 percent (current/ 2017) to 90 percent by 2035 is projected to reduce new TB cases among PLHIV by over 50 percent (in 2035). Furthermore, our analysis shows that higher levels of TB spending lead to more rapid reductions in TB incidence. However, the rates of reduction associated with large increases in expenditure (up to 200 percent of current spending levels) begin to slow in the medium term and it is unlikely that the national TB response can deliver on the 2025 milestones and 2035 End-TB targets.
format	Report
author	Mozambique National TB Program World Bank Optima Consortium for Decision Sciences Burnet Institute
author_facet	Mozambique National TB Program World Bank Optima Consortium for Decision Sciences Burnet Institute
author_sort	Mozambique National TB Program
title	Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study
title_short	Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study
title_full	Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study
title_fullStr	Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study
title_full_unstemmed	Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study
title_sort	optimizing investments in mozambique's tuberculosis response : results of a tuberculosis allocative efficiency study
publisher	World Bank, Washington, DC
publishDate	2020
url	http://documents.worldbank.org/curated/en/576571591894623493/Optimizing-Investments-in-Mozambiques-Tuberculosis-Response-Results-of-a-Tuberculosis-Efficiency-Study http://hdl.handle.net/10986/33907
_version_	1764479772418637824

Optimizing Investments in Mozambique's Tuberculosis Response : Results of a Tuberculosis Allocative Efficiency Study

Similar Items