Optimizing Investments in Moldova’s HIV Response
No hay miniatura disponible
Fecha
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
World Bank, Washington, DC
Resumen
Descripción
This report summarizes the findings of
an Allocative efficiency analysis on Moldova`s national HIV
epidemic and response conducted in 2014-15. The report
addresses core questions for resource allocation such ‘How
can HIV funding be optimally allocated to the combination of
HIV response interventions that will yield the highest
impact?’ or ‘What level of investment is required to achieve
national targets, if we allocate resources optimally?’. The
report describes epidemiological and HIV financing trends as
well as identifies sub-populations, which are most affected
by the epidemic. Based on this information, the optimized
mix of interventions for minimizing new HIV infections and
deaths is identified using mathematical modeling techniques.
Required investments into programs for key populations and
antiretroviral treatment are established and translated into
policy recommendations. Moldova continues to experience a
concentrated HIV epidemic among people who inject drugs
(PWID), men who have sex with men (MSM), female sex workers
(FSW), and their clients and their sexual partners in the
general population. The HIV epidemic is more severe on the
left bank of the Nistru River, where coverage of prevention
programs is lower. The country could increase the impact of
its HIV response by increasing investment from US$8.7
million to US$14.2 million. Optimally allocating resources
will result in a 36 percent decrease in incidence and a 48
percent decrease in HIV-related deaths.
Palabras clave
HIV, health financing, epidemic