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Under the leadership of the Government of Bangladesh (GOB), the National AIDS/STD Programme (NASP) and UNAIDS in liaison with civil society stakeholders started the process of the Investment Case for Bangladesh to enhance the mobilization of resources (domestic and external donor) to end AIDS BY 2030 through Fast-Track strategies. The Investment Case makes an effort to outline how to maximize efficient use of resources, based on current evidence, by re-visiting the strategic directions in prevention efforts to fast track and intensify. The process included several review sessions facilitated by the Ministry of Health and Family Welfare, engaging researchers, civil society and government.
This report is the outcome of a comparative analysis of seven national investment cases from the region, and highlights key findings and recommendations for further action. The findings from this report and the Regional Expert Consultation on Developing Evidence-Based National HIV Investment Cases and Sustainability Plans held in December 2015 are expected to contribute to the knowledge base on how ESCAP Member States have developed national investment cases (NICs), and identify examples of best practice. The analysis was based primarily on a desk review of the investment cases of Bangladesh, Indonesia, Myanmar, Nepal (Investment Plan), the Philippines, Thailand and Viet Nam, with additional input from in-country respondents and from the Regional Expert Consultation.
Keywords: HIV, epidemic, spending, investment, cases, advocacy
This paper is an offshoot of the 2014 AIDS Epidemic Model (AEM) Report endorsed by the Department of Health in August 2014. The AEM report utilized a set of tools (AEM workbooks) that provided techniques for estimating and measuring the impact of past and future programs on the HIV epidemic in the Philippines (1970-2050).
The result of the Investment Case Analysis (ICA) has been reviewed by all stakeholders involved in the national technical team which comprised the Ministry of Health, the National AIDS Commission, and development partners like DFAT, WHO and UNAIDS. The results of this review are based on an analysis of the best and most current data available as of September 2014 in terms of HIV epidemic data, the 2013 IBBS for category B districts, the 2013 Papua IBBS, and revised 2014 unit cost for treatment. Analysis obtained from the study results has also guided the selection of the optimal scenario for the National HIV and AIDS Strategy and Action Plan 2015-2019 and informed the preparation of Indonesia’s Global Fund New Funding Model Concept note in 2015.
The Investment Case analyses Viet Nam’s HIV epidemic and response, examines the impact and implications of various future scenarios, and establishes priorities that aim to make the response more effective, efficient and sustainable, toward the global goal of Ending AIDS by 2030.
Keywords: HIV, harm reduction, treatment, key populations, health systems, deaths, AIDS Epidemic Model (AEM)
Thailand has committed to the targets of the 2011 High Level Meeting on AIDS and has a prioritized National Strategy which pledges a two-thirds reduction in incidence in sexual transmission, and through injecting drug use, by 2016.
The Thai epidemic is a very mature one; at its peak in the mid-1990’s Thailand had around 160,000 new HIV infections per year. It’s well known 100% condom programme addressing the client-sex worker relationship brought a dramatic change in incidence reduction. Thailand managed to reduce the incidence to less than 10,000 new HIV infections per year (2012) – this means more than 90% from its peak 20 years ago. In 2010, there was an estimated 500,000 people living with HIV in Thailand.
Myanmar recognizes the HIV epidemic as one of its most serious health challenges: AIDS is one of the priority diseases in the National Health Plan. The country is committed to achieving a series of national and global strategic targets. The second National Strategic Plan on AIDS 2011–2015 (NSP II), which guides Myanmar’s AIDS response, identifies three strategic priorities – HIV prevention, a comprehensive continuum of care for PLHIV, and mitigating the impact of the disease on PLHIV and their families.
Keywords: HIV, PLHIV, PWID ARV, treatment, epidemic, harm reduction, deaths
This national investment plan is a renewed call for coordinated action from the public and private sectors, civil society and international partners to reduce Nepal’s HIV burden. Drawing on programmatic data and a 2013 review of Nepal’s national response, a 4-month participatory process was undertaken to develop this plan.