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The Economics of the Global Response to HIV/AIDS$
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Markus Haacker

Print publication date: 2016

Print ISBN-13: 9780198718048

Published to Oxford Scholarship Online: August 2016

DOI: 10.1093/acprof:oso/9780198718048.001.0001

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Current Policy Challenges and Economic Perspectives

Current Policy Challenges and Economic Perspectives

(p.103) 7 Current Policy Challenges and Economic Perspectives
The Economics of the Global Response to HIV/AIDS

Markus Haacker

Oxford University Press

From about 2008, in part motivated by the global financial crisis and a perceived slowdown in external funding, the emphasis in the global response to HIV/AIDS has shifted to improving cost-effectiveness and securing the financial sustainability of the HIV/AIDS response. The most prominent formulation of this shift is the UNAIDS investment framework, launched in 2011. At the same time, the calculus of cost-effectiveness of HIV/AIDS-related interventions has changed fundamentally as people living with HIV in most countries now have a good chance of obtaining treatment, survive for decades, and quite possibly not die because of AIDS. The chapter provides an informal framework for assessing the cost-effectiveness of HIV/AIDS policies and interventions, taking into account health, economic, development, and fiscal consequences, and provides an analysis of the changing consequences of HIV infections as treatment eligibility and coverage improve.

Keywords:   HIV/AIDS, antiretroviral therapy, treatment costs, programme evaluation, health impact of HIV/AIDS, consequences of HIV infections, cost-effectiveness, public finance

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