Optimizing Investments in Former Yugoslav Republic of Macedonia’s HIV Response
This report summarizes the findings of an Allocative efficiency analysis on the Former Yugoslav Republic (FYR) of Macedonia `s national HIV epidemic and response conducted in 2014-15. The report addresses core questions for resource allocation such...
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| Language: | English en_US |
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World Bank, Washington, DC
2016
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| Online Access: | http://documents.worldbank.org/curated/en/931741477978680273/Optimizing-investments-in-Former-Yugoslav-Republic-OF-Macedonia-s-HIV-response http://hdl.handle.net/10986/25378 |
| Summary: | This report summarizes the findings of
an Allocative efficiency analysis on the Former Yugoslav
Republic (FYR) of Macedonia `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. The FYR Macedonia experiences a low
level, concentrated HIV epidemic. The small number of people
currently living with HIV is attributable, in part, to an
effective HIV response to date. There is increasing HIV
prevalence among certain key population groups, particularly
men who have sex with men (MSM) and male sex workers (MSW).
This recent trend warrants early attention. MSM accounted
for 64 percent of newly diagnosed people living with HIV in
2014. In that same year, programs specifically targeting MSM
accounted for only 2.4 percent of HIV spending. |
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