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| You would think that information about the cost-effectiveness of different treatments and interventions would be a key input to resource allocation decisions. However, this may not always be the case. I have been talking to AIDS Control Program Managers about how they make their resource allocation decisions and the type of information or assistance they would most like to have. Although this is not a systematic survey some of the responses are interesting. Several managers of programs that are buried at low levels in the bureaucracy stated that their biggest need was for advocacy to higher level decision makers - their problem is not resource allocation as much as it resource mobilization. Some managers of more highly placed programs who do have resources to allocate, expressed a need for approaches to resource allocation at the district or regional level - since many health programs are now decentralized. Thus local capacity to use local and global information may be a key factor. Other managers wanted tools to help them understand cost-effectiveness for their programs, not globally. Thus, information about the cost-effectiveness of ARV of the type presented in this paper is a vital first step to influencing resource allocation decisions, but it needs to be combined with other information to support local resource allocation decision. |
Responses:
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