Publication:
Algorithms for Purchasing AIDS Vaccines

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dc.contributor.authorBishai, David
dc.contributor.authorLin, Maria K.
dc.contributor.authorKiyonga, C.W.B.
dc.date.accessioned2014-06-30T18:29:45Z
dc.date.available2014-06-30T18:29:45Z
dc.date.issued2000-04
dc.description.abstractThe authors delineate two different algorithms for the purchase of AIDS vaccines, to show how differences in policy objectives can greatly affect projections of the number of courses of vaccine that will be needed. They consider a hypothetical vaccine costing ten dollars to produce, and offering sixty percent, seventy five percent, and ninety percent reductions in the risk of HIV for ten years. For each of the world's ten major geographic divisions, they sue published estimates of the risk of AIDS, the value of medical costs averted, and the value of potential productivity losses. Under the "health sector" algorithm - in which purchases are made to minimize the impact of AIDS/HIV on government health spending - 766 million courses of vaccine would be purchased. Under the "societal" algorithm - in which purchases are made to minimize the impact of AIDS/HIV on health spending and GDP - more than 3.7 billion courses of vaccine would be purchased. Under an "equity" model - allocating vaccines to everyone in the world at high risk, as if they had the financial resources of Western Europeans - vaccine would be offered to 4.7 billion people. For a Western European man, reducing the risk of AIDS/HIV would be a $789 concern; in Africa, the comparable risk would be a $48,577 crisis. The authors conclude that financing AIDS vaccines solely on the fixed budget of a ministry of health, means large vulnerable populations wouldn't receive the vaccine. Allocating the vaccine based on society's ability to pay would still exclude many poor infants who would probably be immunized if they were born in more developed regions. Policymakers concerned about equity in health care must redouble efforts to making the financing of development, and distribution of AIDS vaccines, a global, not a regional concern.en
dc.identifierhttp://documents.worldbank.org/curated/en/2000/04/437234/algorithms-purchasing-aids-vaccines
dc.identifier.doi10.1596/1813-9450-2321
dc.identifier.urihttps://hdl.handle.net/10986/18838
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 2321
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADAPTATION
dc.subjectADULT MEN
dc.subjectADVERSE EFFECTS
dc.subjectAGED
dc.subjectAIDS CARE
dc.subjectAIDS EPIDEMIC
dc.subjectAIDS VACCINE
dc.subjectAIDS VACCINE CHARACTERISTICS
dc.subjectAIDS VACCINE RESEARCH
dc.subjectAIDS VACCINES
dc.subjectALGORITHM
dc.subjectANTENATAL CARE
dc.subjectAVERAGE AGE
dc.subjectBEREAVEMENT
dc.subjectBISEXUAL MEN
dc.subjectCARE SEEKING
dc.subjectCASE OF AIDS
dc.subjectCOMMERCIAL SEX
dc.subjectCOMMERCIAL SEX WORKERS
dc.subjectDEMAND CURVES
dc.subjectDEVELOPED COUNTRIES
dc.subjectDRUGS
dc.subjectECONOMICS
dc.subjectEMPIRICAL STUDIES
dc.subjectEPIDEMIOLOGY
dc.subjectFAMILIES
dc.subjectFINANCIAL RESOURCES
dc.subjectHARM REDUCTION
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH SECTOR
dc.subjectHEPATITIS B
dc.subjectHIGH RISK GROUPS
dc.subjectHIGH- RISK
dc.subjectHIGH- RISK GROUPS
dc.subjectHIGH-RISK
dc.subjectHIGH-RISK POPULATIONS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS TYPE
dc.subjectHYGIENE
dc.subjectILL HEALTH
dc.subjectIMMUNITY
dc.subjectIMMUNIZATION
dc.subjectIMMUNIZATION COVERAGE
dc.subjectIMMUNODEFICIENCY
dc.subjectINFANTS
dc.subjectINFECTIONS
dc.subjectINFLUENZA
dc.subjectINJECTING DRUG USE
dc.subjectINJECTION DRUG USERS
dc.subjectINTERVENTION
dc.subjectLABOR FORCE
dc.subjectLIFESTYLES
dc.subjectMARGINAL COST
dc.subjectMARKETING
dc.subjectMEDICAL CARE
dc.subjectMEDICAL CARE COSTS
dc.subjectMEDICAL COSTS
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMOTHER-TO-CHILD
dc.subjectMOTHER-TO-CHILD TRANSMISSION
dc.subjectMOTHERS
dc.subjectNEEDLE EXCHANGE
dc.subjectNEEDS ASSESSMENT
dc.subjectNUTRITION
dc.subjectOLDER ADULTS
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPHYSICIANS
dc.subjectPOLICY MAKERS
dc.subjectPOLICY RESEARCH
dc.subjectPREGNANT WOMAN
dc.subjectPRESENT VALUE
dc.subjectPRODUCTION COSTS
dc.subjectPRODUCTIVITY
dc.subjectPROPHYLAXIS
dc.subjectPROSTITUTION
dc.subjectPUBLIC HEALTH
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRETIREMENT
dc.subjectRETURNS TO SCALE
dc.subjectRISK BEHAVIOR
dc.subjectRISK BEHAVIOUR
dc.subjectRISK FACTORS
dc.subjectRISK OF AIDS
dc.subjectRISK POPULATIONS
dc.subjectSAFETY
dc.subjectSAVINGS
dc.subjectSCHOOLS
dc.subjectSEX WITH MEN
dc.subjectSEXUAL HEALTH
dc.subjectUNAIDS
dc.subjectUSE OF CONDOMS
dc.subjectVACCINATION
dc.subjectVACCINATIONS
dc.subjectVACCINE TRIALS
dc.subjectVICTIMS
dc.subjectVIRAL LOAD
dc.subjectWORLD AIDS CONFERENCE
dc.titleAlgorithms for Purchasing AIDS Vaccinesen
dspace.entity.typePublication
okr.crossref.titleAlgorithms for Purchasing AIDS Vaccines
okr.date.disclosure2000-04-30
okr.date.doiregistration2025-04-10T09:16:14.346299Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2000/04/437234/algorithms-purchasing-aids-vaccines
okr.globalpracticeHealth, Nutrition, and Population
okr.guid848131468739468430
okr.identifier.doi10.1596/1813-9450-2321
okr.identifier.externaldocumentum000094946_00050606014968
okr.identifier.internaldocumentum437234
okr.identifier.reportWPS2321
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2000/07/19/000094946_00050606014968/Rendered/PDF/multi_page.pdfen
okr.sectorHealth and other social services :: Health
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicHealth Monitoring and Evaluation
okr.topicEnvironmental Economics and Policies
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicHealth Economics and Finance
okr.topicEarly Child and Children's Health
okr.topicHealth, Nutrition and Population::Public Health Promotion
okr.topicDisease Control and Prevention
okr.unitPoverty and Human Resources, Development Research Group and the Health, Nutrition, and Population Team, Human Development Network
okr.volume1
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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