1 / 15

Background-Ethiopia

Scenario –based Cost Projections for PEPFAR Resource Requirements for the ART Program in Ethiopia from FY2011 – FY2015 Solomon Ahmed, M.D. Technical Officer-Treatment Centers for Disease Control and Prevention-Ethiopia. Background-Ethiopia. Total Population – 80 million+

veata
Download Presentation

Background-Ethiopia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Scenario –based Cost Projections for PEPFAR Resource Requirements for the ART Program in Ethiopia from FY2011 – FY2015Solomon Ahmed, M.D. • Technical Officer-Treatment • Centers for Disease Control and Prevention-Ethiopia

  2. Background-Ethiopia • Total Population – 80 million+ • HIV prevalence* – 2.4% • ART eligible – 397,818 (26,053 < 15 years) • Currently on ART March 2012** – 257,000+ * 1.5% from the 2011 DHS results. ** PEPFAR Ethiopia SAPR http://www.smartraveller.gov.au/zwiki/pub/Maps/countries/dfat/Ethiopia.jpg http://mapsof.net/uploads/static-maps/where_is_ethiopia_located.png

  3. Background - Ethiopia Trends in no. of PLHIV enrolled to care and ART in Ethiopia from 2005 - 2011 700,000 600,000 500,000 400,000 300,000 200,000 100,000 Number of PLHIV Year HSDP IV Annual Performance Report EFY 2003 (2010/11)

  4. Activities supported for site level services

  5. Objective of study • Provide PEPFAR-Ethiopia with funding projections for different scenarios of scale-up

  6. Methods • Utilized results from FY 2010 expenditure analysis to calculate unit costs • Used the PEPFAR ART Costing model 2010 • Developed different scenarios based on rates of enrollment of new patients

  7. PEPFAR expenditures included • Service delivery support • Procurement cost of ARVs (contingency), lab reagents, and other commodities • Technical support and managerial overheads provided by PEPFAR-funded implementing partners

  8. PEPFAR expenditures excluded • Managerial overheads incurred within USG government agencies • Costs of related services from other program areas (HIV testing, PMTCT, community-based care)

  9. Scale-up Scenarios used for cost projections

  10. Assumptions • Number of pre-ART patients grows proportional to the number of ART patients • Pediatric ART proportion increases from 5.9% to 9.0% of total on ART by the end of FY2015 • Patients on 2nd line regimens increase from 0.6% to 4.8% of total on ART by the end of FY2015

  11. Estimated unit cost for ART and pre-ART patients • Average annual per patient costs of $202 for ART patients and $94 for pre-ART patients • Per patient costs expected to be relatively flat over the period of projection

  12. ART program scale-up trends in alternate scenarios 600,000 500,000 400,000 300,000 200,000 100,000 No. of ART patients

  13. Comparisons of trends in projected costs under different scenarios FY 2011 - 2015

  14. Conclusions • Cost projections facilitate informed planning • Projections offer options of ART scale-up • Current trend in patient uptake in Ethiopia fall short of attaining Universal Access by 2015

  15. Acknowledgments Nick Menzies – ICF MACRO Thomas Kenyon – CDC Ethiopia Zenebe Melaku – CU ICAP TsigeredaGadisa – CU ICAP Bill Graham – UW ITECH Getachew Feleke – UW ITECH Solomon Zewdu – JHU Misrak Makonnen – CRS/AIDSRelief Diana Mattanovich – UCSD Yoseph Mamo –UCSD Thomas Heller – CDC Ethiopia Cate McKinney – CDC Ethiopia Abubaker Bedri – CDC Ethiopia All CDC Ethiopia technical staff

More Related