Costs of scaling HIV programme activities to a national level in Sub-Saharan Africa: Methods and estimates
Costs of scaling HIV programme activities to a national level in Sub-Saharan Africa: Methods and estimates
HIV/AIDS continues to have a devastating impact in Sub-Saharan Africa (SSA) Close to 71% of people with HIV/AIDS live in SSA (UNAIDS, 2000a). Life expectancy at birth in Southern Africa, which climbed from 44 years in the early 1950s to 59 years in the early 1990s, is expected to drop back to 40 years sometime between 2005 and 2010, mainly attributed to the result of AIDS. However, while there are strong HIV/AIDS interventions across Africa, few are implemented at a national scale. Yet the experiences of countries such as Uganda and Senegal, which have been successful in mitigating the epidemic, suggest the importance of a national and co-ordinated response. Thus, a key priority in addressing the HIV/AIDS crisis in SSA is rapid expansion of activities. The aim of the approach followed in this document is to provide a method to present "estimates of the cost of scaling-up HIV/AIDS interventions to various levels of coverage. While providing guidance on the relative resource requirements of different HIV/AIDS interventions, the report does not provide explicit guidance on priority-setting and resource allocation among programmes. To do this, one needs also to consider the likely impact and cost-effectiveness of the activities, which are not considered here. The process of choosing which activities to scale up and at which levels depends on several factors, and the analysis of costs is only a component of this process. This document develops and discusses a resource determination model (RDM) designed to estimate how much it would cost to scale-up different HIV prevention and care strategies to a national level in Sub-Saharan Africa. The model combines cost-studies with detailed information on sexual behavior, condom availability, HIV prevalence and other epidemiological, demographic and health systems. The model yields estimates of the costs of scaling-up ten different HIV prevention and eight care strategies for 37 countries in Sub-Saharan Africa.
CITATION: United Nations - Economic Commission for Africa (UN-ECA). Costs of scaling HIV programme activities to a national level in Sub-Saharan Africa: Methods and estimates . Addis Ababa : UN ECA , 2000. - Available at: https://library.au.int/costs-scaling-hiv-programme-activities-national-level-sub-saharan-africa-methods-and-estimates-3