期刊
PLOS MEDICINE
卷 14, 期 2, 页码 -出版社
PUBLIC LIBRARY SCIENCE
DOI: 10.1371/journal.pmed.1002240
关键词
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资金
- UNAIDS through the project Optimal Resource allocation and long-term financing in the HIV sector in the ESA region.
- JACH also received funding through Netherlands Organization for Scientific Research (NWO) Talent Scheme Veni
- Netherlands Organization for Scientific Research (NWO) Talent Scheme Vici
- USAID South Africa
- HIV Modelling Consortium
- World Health Organization
- Medical Research Council [MR/K010174/1B] Funding Source: researchfish
The ever-growing HIV treatment programs in sub-Saharan Africa (SSA) present local policy makers with complex decision dilemmas, as international guidelines emphasize the need for expanded access to antiretroviral therapy (ART), yet funding has flatlined. We argue that the current evidence base for prioritizing ART scale-up strategies results in recommendations that are theoretically optimal but practically infeasible to implement. Cost-effectiveness analyses (CEAs) of scaling up ART in SSA should be made more responsive to the needs of policy makers by taking into account the local health system. We provide suggestions for a better integration of health system constraints into CEA by integrating supply-and demand-side constraints in mathematical models and improving the dialogue between researchers and policy makers.
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