Due to the fact that the Global Fund to Fight AIDS, Tuberculosis and Malaria is gradually reducing funding for epidemic programs in the region, the country are looking for ways to more effectively invest available domestic resources in this area, says UNAIDS on website.
"These changes are based on epidemiological and economic arguments. The economies of these countries is much better than the world average, so we expect that the region will increasingly deal with the existing burden of the disease on their own. The key task of the Global Fund, UNAIDS and other partners at this stage is to strengthen national measures and reduce the problem to a size that governments can handle on their own."- explains Dumitru Laticevschi, Regional Manager for the Eastern Europe and Central Asia Group of the Global Fund.
In a 2014 study of the effectiveness of HIV resource allocation in the EECA region, countries were encouraged to prioritize investment in the most cost-effective strategies, including updating HIV testing and treatment protocols, reducing treatment costs, and optimizing service delivery. The research is based on data from Mathematical Modeling Optima HIV, which has been used in more than 60 countries around the world to determine the most effective investment related to HIV.
A new wave of allocative research was recently completed in 11 countries in the region (Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Romania, Tajikistan, Ukraine and Uzbekistan). Individual reports with a set of recommendations for each country are available, as well as a regional report with aggregate analysis results for eleven countries.
"We provided technical support for the analytical work," - said Sherrie Kelly, head of the Burnett Institute's HIV, Tuberculosis and Malaria Program. - The data and the research results belong to the countries themselves. We only offer mathematical models. "
The modeling is based on demographic, epidemiological, behavioral and other data, as well as on cost estimates provided by national partners. The software component of costs and the algorithm of optimization of resources are superimposed on the model of epidemic. The results are intensively discussed and confirmed by national teams and key stakeholders from the respective countries. The UNAIDS Secretariat facilitates the whole process to further strengthen the capacity of national partners to optimize health care costs.