Employing resource allocation modeling to inform HIV prevention planning for the state of Iowa.

David R Holtgrave, Patricia A. Young, Randall R. Mayer, Catherine Maulsby, J. Janet Kim

Research output: Contribution to journalArticle

Abstract

In fiscal year (FY) 2012, the Centers for Disease Control and Prevention (CDC) reallocated their HIV prevention funding to U.S. states, territories, and some cities so as to be more highly correlated with 2008 HIV prevalence. A jurisdiction's HIV prevention funding could drop as low as $750,000 for FY 2016. Iowa was one state that experienced a substantial funding drop, and it chose to undertake a mathematical modeling exercise to inform the following questions: (a) Given current HIV prevention funding for the state, what is the optimal allocation of resources to maximize infections averted? (b) With this "optimal" resource allocation, how many (and what percentage of) HIV infections in the state can be averted? (c) Is the optimal resource allocation sufficient to achieve the National HIV/AIDS Strategy goal of 25% reduction in HIV incidence? and (d) With the "optimal" resource allocation, is the return on the investment such that it might be considered cost-effective? Here, we describe the results of the policy analysis, and the uses of the results.

Original languageEnglish (US)
Pages (from-to)423-429
Number of pages7
JournalAIDS Education and Prevention
Volume25
Issue number5
StatePublished - Oct 2013
Externally publishedYes

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Resource Allocation
funding
HIV
planning
resources
mathematical modeling
jurisdiction
AIDS
incidence
Policy Making
Centers for Disease Control and Prevention (U.S.)
Disease
HIV Infections
Acquired Immunodeficiency Syndrome
costs
Costs and Cost Analysis
Incidence
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Employing resource allocation modeling to inform HIV prevention planning for the state of Iowa. / Holtgrave, David R; Young, Patricia A.; Mayer, Randall R.; Maulsby, Catherine; Kim, J. Janet.

In: AIDS Education and Prevention, Vol. 25, No. 5, 10.2013, p. 423-429.

Research output: Contribution to journalArticle

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