AnitaAlbanThecostofH IVinAfrica

The cost of HIV in AfricaAnita Alban November 2006: 

The cost of HIV in Africa Anita Alban November 2006

Cost of HIV to societies (1990-97 data, 80 countries): 

Cost of HIV to societies (1990-97 data, 80 countries) Growth Impact of HIV (1990-97) (80 developing countries) -1.6 -1.4 -1.2 -1 -0.8 -0.6 -0.4 -0.2 0 0 5 10 15 20 25 30 35 HIV Prevalence Rate (%) Reduction in growth rate GDP per capita (%, per year) Source: R. Bonnel (2000) Economic Analysis of HIV/AIDS, ADF2000 Background paper, World Bank

Trends in life expectancy, selected countries 1990-2005, SSA: 

Trends in life expectancy, selected countries 1990-2005, SSA

Life expectancy, high prevalence countries: 

Life expectancy, high prevalence countries

Cost of HIV measured as disease burden, Zimbabwe: 

Cost of HIV measured as disease burden, Zimbabwe Chapman et al 2006

HIV prevalence among young people, Mozambique: 

HIV prevalence among young people, Mozambique Source: World Bank

Orphans as a result of AIDS, Namibia estimation: 

Orphans as a result of AIDS, Namibia estimation 0 20 000 40 000 60 000 80 000 100 000 Number of orphans 1980 1990 2000 2010 2005 1995 1985 projection Source: HIV/AIDS in Zambia, 1997

Orphans: Parents surviving over time: 

Orphans: Parents surviving over time Source: Devarajan and Gersbach 2004

GFATM funding per capitasix African countries: 

GFATM funding per capita six African countries

HIV GFATM funding per HIVinfected in six African countries: 

HIV GFATM funding per HIV infected in six African countries

Human Resources in the health services per 10 000 HIV infected: 

Human Resources in the health services per 10 000 HIV infected

Example: Coverage of key HIV interventions and sources: 

Example: Coverage of key HIV interventions and sources Effectiveness and cost-effectiveness of programmes unknown!

Slide13: 

Commission on Macroeconomics and Health, 2001

Access to interventions, Africa (risk populations): 

Access to interventions, Africa (risk populations) Source: UNAIDS, prevention gap 2003

Unit costs for scale-up, Africa2000 prices: 

Unit costs for scale-up, Africa 2000 prices

Scaling up effective HIV interventions - the national resource gap: 

Scaling up effective HIV interventions - the national resource gap MATRIX Define national need for interventions! (who is driving the epidemic?) Prioritise under resource contraints (cost-effectiveness, equity and other concerns) Define gap (need, eligible) to reach at least 60% coverage (of Best Practice interventions only) Use unit costs for Africa as default in annual prices Estimate total cost – GO!

Child survival by mother’s HIV status, Malawi, Uganda, Tanzania: 

Child survival by mother’s HIV status, Malawi, Uganda, Tanzania Zaba et al. 2003