tailieunhanh - báo cáo hóa học:" The Global Fund’s resource allocation decisions for HIV programmes: addressing those in need"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : The Global Fund’s resource allocation decisions for HIV programmes: addressing those in need | JOURNALOF THE INTERNATIONAL AIDS SOCIETY Avdeeva et al. Journal of the International AIDS Society 2011 14 51 http content 14 1 51 RESEARCH Open Access The Global Fund s resource allocation decisions for HIV programmes addressing those in need Olga Avdeeva1 Jeffrey V Lazarus1 2 Mohamed Abdel Aziz3 and Rifat Atun1 4 Abstract Background Between 2002 and 2010 the Global Fund to Fight AIDS Tuberculosis and Malaria s investment in HIV increased substantially to reach US 12 billion. We assessed how the Global Fund s investments in HIV programmes were targeted to key populations in relation to disease burden and national income. Methods We conducted an assessment of the funding approved by the Global Fund Board for HIV programmes in Rounds 1-10 2002-2010 in 145 countries. We used the UNAIDS National AIDS Spending Assessment framework to analyze the Global Fund investments in HIV programmes by HIV spending category and type of epidemic. We examined funding per capita and its likely predictors HIV adult prevalence HIV prevalence in most-at-risk populations and gross national income per capita using stepwise backward regression analysis. Results About 52 billion of the cumulative Global Fund HIV funding was targeted to low- and low-middle-income countries. Around 56 of the total billion was channelled to countries in sub-Saharan Africa. The majority of funds were for HIV treatment 36 billion and prevention 29 billion followed by health systems and community systems strengthening and programme management 22 billion enabling environment 7 billion and other activities. The Global Fund investment by country was positively correlated with national adult HIV prevalence. About 10 billion of the cumulative HIV resources for prevention targeted most-at-risk populations. Conclusions There has been a sustained scale up of the Global Fund s HIV support. Funding has targeted the countries and populations with higher HIV burden and lower .