PMID- 26552409
OWN - NLM
STAT- MEDLINE
DCOM- 20170612
LR  - 20190320
IS  - 1460-2237 (Electronic)
IS  - 0268-1080 (Linking)
VI  - 31
IP  - 5
DP  - 2016 Jun
TI  - Resource needs and gap analysis in achieving universal access to HIV/AIDS 
      services: a data envelopment analysis of 45 countries.
PG  - 624-33
LID - 10.1093/heapol/czv109 [doi]
AB  - BACKGROUND: -To manage the human immunodeficiency virus and acquired immune 
      deficiency syndrome (HIV/AIDS) epidemic, international donors have pledged 
      unprecedented commitments for needed services. The Joint United Nations Programme 
      on HIV/AIDS (UNAIDS) projected that low- and middle-income countries needed $25 
      billion to meet the 2010 HIV/AIDS goal of universal access to AIDS prevention and 
      care, using the resource needs model (RNM). METHODS: -Drawing from the results 
      from its sister study, which used a data envelopment analysis (DEA) and a Tobit 
      model to evaluate and adjust the technical efficiency of 61 countries in 
      delivering HIV/AIDS services from 2002 to 2007, this study extended the DEA and 
      developed an approach to estimate resource needs and decompose the performance 
      gap into efficiency gap and resource gap. In the DEA, we considered national 
      HIV/AIDS spending as the input and volume of voluntary counseling and testing 
      (VCT), prevention of mother to child transmission (PMTCT) and antiretroviral 
      treatment (ART) as the outputs. An input-oriented DEA model was constructed to 
      project resource needs in achieving 2010 HIV/AIDS goal for 45 countries using the 
      data in 2006, assuming that all study countries maximized efficiency. FINDINGS: 
      -The DEA approach demonstrated the potential to include efficiency of national 
      HIV/AIDS programmes in resource needs estimation, using macro-level data. Under 
      maximal efficiency, the annual projected resource needs for the 45 countries was 
      $6.3 billion,  approximately 47% of their UNAIDS estimate of $13.5 billion. Given study 
      countries' spending of $3.9 billion, improving efficiency could narrow the gap 
      from $9.6 to $2.4 billion. The results suggest that along with continued 
      financial commitment to HIV/AIDS, improving the efficiency of HIV/AIDS programmes 
      would accelerate the pace to reach 2010 HIV/AIDS goals. The DEA approach provides 
      a supplement to the AIDS RNM to inform policy making.
CI  - (c) The Author 2015. Published by Oxford University Press. All rights reserved. For 
      permissions, please email: journals.permissions@oup.com.
FAU - Zeng, Wu
AU  - Zeng W
AD  - Schneider Institutes for Health Policy, Heller School, MS 035, Brandeis 
      University, Waltham, MA 02454, USA, wuzengcn@brandeis.edu.
FAU - Shepard, Donald S
AU  - Shepard DS
AD  - Schneider Institutes for Health Policy, Heller School, MS 035, Brandeis 
      University, Waltham, MA 02454, USA.
FAU - Avila-Figueroa, Carlos
AU  - Avila-Figueroa C
AD  - Abt Associates, Bethesda, MD 20814, USA and.
FAU - Ahn, Haksoon
AU  - Ahn H
AD  - School of Social Work, University of Maryland, Baltimore, MD 21201, USA.
LA  - eng
PT  - Journal Article
DEP - 20151109
PL  - England
TA  - Health Policy Plan
JT  - Health policy and planning
JID - 8610614
MH  - *Data Interpretation, Statistical
MH  - Developing Countries
MH  - *Financing, Organized
MH  - Global Health
MH  - HIV Infections/*drug therapy/prevention & control
MH  - Health Resources/*economics
MH  - Health Services Accessibility
MH  - Humans
MH  - Infectious Disease Transmission, Vertical/prevention & control
MH  - United Nations
OTO - NOTNLM
OT  - Data envelopment analysis
OT  - HIV/AIDS
OT  - efficiency
OT  - gap analysis
OT  - resource needs
EDAT- 2015/11/11 06:00
MHDA- 2019/03/21 06:00
CRDT- 2015/11/11 06:00
PHST- 2015/10/06 00:00 [accepted]
PHST- 2015/11/11 06:00 [entrez]
PHST- 2015/11/11 06:00 [pubmed]
PHST- 2019/03/21 06:00 [medline]
AID - czv109 [pii]
AID - 10.1093/heapol/czv109 [doi]
PST - ppublish
SO  - Health Policy Plan. 2016 Jun;31(5):624-33. doi: 10.1093/heapol/czv109. Epub 2015 
      Nov 9.