HIV Allocative Efficiency and Financial Commitment Studies in Eastern Europe and Central Asia, using Optima
In the new environment of limited resources for HIV responses, focused HIV response design, better targeting of resources, and efficiency in program delivery are essential to ensure that programs can do more with less.
The World Bank is leading a global effort to undertake HIV Allocative Efficiency analyses in several countries and the UCL IGH team are working in partnership with the World Bank, UNSW and country governments to perform the analyses in selected countries in Eastern Europe and Central Asia.
The analyses are carried out through an application of the mathematical modelling tool called Optimization & Analysis Tool (Optima). Optima, designed by a team at UNSW, is a mathematical model of HIV transmission and disease progression, which uses an integrated analysis of epidemic, program and cost data to determine an optimal distribution of investment to better serve the needs of HIV and health decision-makers and planners.
Through maximisation of health outcomes, together with the most cost effective solutions, the outcomes try to answer the question of 'How can HIV funding be optimally allocated to the combination of HIV response interventions that will yield the highest impact in the shortest period of time'?