towards an improved investment approach for an effective response to hiv
DESCRIPTION
Towards an improved investment approach for an effective response to HIV. Dr Bernhard Schwartländer UNAIDS. We have done a lot …. Unprecedented scale up of services Decline in rate of new HIV infections in many countries More than 6.5 M on ART But we can do better - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/1.jpg)
Towards an improved investment approach for an
effective response to HIV
Dr Bernhard SchwartländerUNAIDS
![Page 2: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/2.jpg)
We have done a lot …• Unprecedented scale up of services• Decline in rate of new HIV infections in many
countries • More than 6.5 M on ART
But we can do betterScale up to date guided by “commodity approach”• Unsystematic prioritisation and investment • Resources spread thinly across many parallel
interventions• Focus on discrete interventions rather than
overall results leading to a fragmented response
![Page 3: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/3.jpg)
A shift in paradigm
Strategic investment based on prioritisation and driven by latest evidence
![Page 4: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/4.jpg)
![Page 5: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/5.jpg)
What can we achieve?
Universal Access by 2015
![Page 6: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/6.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
>500 350-499 250-349 200-249 100-199 50-99 <50
CD4 Count (cells/ml)
Cove
rage
ART coverage in 2015 by CD4 count
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
>500 350-499 250-349 200-249 100-199 50-99 <50
CD4 Count (cells/ml)
Cove
rage
13.1 million (health)
CD4 350
15 million (T4P)
![Page 7: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/7.jpg)
Reaching people with services:Examples for 2015
CoverageCondoms (discordant couples) 60%Condoms (high risk pop) 50%Sex work 60%MSM programmes 60%IDU programmes 60%
MillionHIV testing 320ART 15
![Page 8: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/8.jpg)
Return on investment:More than 12 million infections averted
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
New
HIV
infe
ctio
ns
Baseline Investment Framework
New infections averted between 2011 and 2020: 12.2 million
![Page 9: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/9.jpg)
9
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
AID
S de
aths
Baseline Investment Framework
AIDS deaths averted between 2011 and 2020: 7.4 million
Annual number of AIDS deaths: 2011-2020
Life years gained 29.4 million
![Page 10: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/10.jpg)
What will it cost?
What are the returns?
![Page 11: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/11.jpg)
11
Resources needed
for the investment framework
0
5
10
15
20
25
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Bill
ions
(US
$)
Synergies withDevelopment SectorsCritical Enablers
Behaviour ChangeProgramsMale circumcision
Treatment, care andsupportIDU
MSM
CSW and clients
Condom promotion
PMTCT
![Page 12: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/12.jpg)
Economic cost and returns 2011 to 2020
Cost/ReturnsTotal additional investment (over 10 years) US$46.5 Billion
Future treatment need averted US$40 Billion
Life years gained US$1,060 per life year gained
![Page 13: Towards an improved investment approach for an effective response to HIV](https://reader035.vdocument.in/reader035/viewer/2022062410/56816224550346895dd25536/html5/thumbnails/13.jpg)
Conclusions
• Through a focused and committed approach we can turn this epidemic around
• With an upfront investment over the coming 5 years, we will be able to turn cost around
• Time to overcome the false dichotomy between prevention and treatment
• In line with the commitments and targets included in the Declaration of the HLM AIDS
The Lancet Vol 377 June 11, 2011 - Available online at www.thelancet.com