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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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Cost-effectiveness of HIV/AIDS Programmes

Cost-effectiveness of HIV/AIDS Programmes

(p.115) 8 Cost-effectiveness of HIV/AIDS Programmes
The Economics of the Global Response to HIV/AIDS

Markus Haacker

Oxford University Press

The chapter reviews common approaches to assessing the cost-effectiveness of HIV/AIDS programmes. A principal challenge in the evaluation of HIV/AIDS programmes are the long time frames. Because HIV/AIDS is a chronic disease, current policies have consequences, in terms of spending needs, which extend over decades. The chapter offers a re-interpretation of the costs of HIV/AIDS policies which is built around the concept of fiscal space—what is the magnitude of financial resources committed by an HIV/AIDS policy, including the costs during some programme period, but also taking into account the spending commitments (largely from treatment need) beyond the policy period, as people living with HIV will continue to require treatment. The chapter closes with a discussion of the contribution of HIV/AIDS programmes to national development objectives, such as improved overall health outcomes and any economic returns to investment in the HIV/AIDS response.

Keywords:   HIV/AIDS, response to HIV/AIDS, cost-effectiveness, programme evaluation, life expectancy, health and economic growth, spending commitments, fiscal space

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