Optimizing Investments in Bulgaria's HIV Response
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World Bank, Washington, DC
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Bulgaria has a concentrated but growing
HIV epidemic, in which HIV prevalence increased among all
population groups over the past decade. This increasing
trend in HIV prevalence is particularly marked among men who
have sex with men (MSM). For men and women who inject drugs,
assuming stable behaviors and program coverage, HIV
prevalence is expected to remain above 8 percent and 5
percent respectively. There is an urgent need to shift
additional domestic resources towards HIV. Bulgaria was
already financing 67 percent of its HIV/AIDS response in
2014 with domestic funding. However, there is an urgent need
to fill resource gaps in the overall HIV budget envelope
with increased domestic financing. Current annual spending
will not, according to this analysis, be sufficient to
realise the proposed National Strategic Plan and
international targets. The budget will need to be increased
to achieve these targets and the increase will need to be
larger if technical and allocative efficiency gains are not
made. Bulgaria's HIV response requires a shared,
long-term vision for sustainable HIV financing that
harnesses wider health sector reforms and emerging financing models.
Palabras clave
HIV AIDS, HIV PREVENTION, ALLOCATIVE EFFICIENCY, HEALTHCARE EXPENDITURE, ANTIRETROVIRAL THERAPY, HEALTHCARE FUNDING