Publication: Kazakhstan Can Achieve Ambitious HIV Targets Despite Expected Donor Withdrawal by Combining Improved ART Procurement Mechanisms with Allocative and Implementation Efficiencies
Date
2017-02-16
ISSN
Published
2017-02-16
Author(s)
Shattock, Andrew J.
Benedikt, Clemens
Bokazhanova, Aliya
Duric, Predrag
Petrenko, Irina
Ganina, Lolita
Kelly, Sherrie L.
Stuart, Robyn M.
Kerr, Cliff C.
Vinichenko, Tatiana
Abstract
Despite a non-decreasing HIV epidemic, international donors are soon expected to withdraw funding from Kazakhstan. Here we analyze how allocative, implementation, and technical efficiencies could strengthen the national HIV response under assumptions of future budget levels. We used the Optima model to project future scenarios of the HIV epidemic in Kazakhstan that varied in future antiretroviral treatment unit costs and management expenditure—two areas identified for potential cost-reductions.