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Optimizing investments in Belarus' Tuberculosis Response

Optima Consortium of Decision Sciences, .; (2017) Optimizing investments in Belarus' Tuberculosis Response. The World Bank Group: Washington DC, USA. Green open access

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Abstract

This report summarizes the findings of an allocative efficiency study of Belarus’ Tuberculosis (TB) response, which was conducted using the Optima-TB model in 2016-17. KEY MESSAGES: Despite progress made in reducing TB incidence and deaths, Belarus’ TB response continues to face challenges, in particular in relation to drug resistant TB. The current TB response and allocation of resources—if continued—would sustain a moderate decline of the TB epidemic, but would be insufficient to achieve national and global TB targets set for 2020 and 2035. The allocative efficiency study presented in this report identified potential for reallocation of resources. The same budget available for TB-related activities in 2015 (US$ 61.8 million) could, — if allocated optimally —achieve the following changes by 2035: reduce prevalence in the general adult population by up to 45%; reduce the total number of TB deaths by up to 60%; In order to achieve these changes specific reallocations are required in relation to how TB programs are delivered. Transitioning from hospital care to ambulatory care could free up approximately 40% of TB treatment cost for reallocation to higher-impact programs. Additional resources could be freed up in the area of involuntary isolation department treatment, the service modality with the highest unit cost, in palliative care and in mass screening. Resources freed up by changing treatment modalities would need to be invested in selected higher-impact interventions and delivery solutions. These include provision of incentives for providers of ambulatory TB care, procurement of new, more efficacious drug regimens for MDR-TB and XDR-TB, scale up of rapid molecular diagnostics, enhanced active case finding among high-risk populations and enhanced contact tracing. Findings of this study can inform the reform of TB care and TB care financing in Belarus as well as expanded pilots of these reforms at Oblast (province) level.

Type: Report
Title: Optimizing investments in Belarus' Tuberculosis Response
Open access status: An open access version is available from UCL Discovery
Publisher version: http://documents.worldbank.org/curated/en/91506149...
Language: English
Additional information: © International Bank for Reconstruction and Development/ The World Bank. This work is available under the Creative Commons Attribution 3.0 Unported licence (CC BY 3.0) http://creativecommons.org/licences/by/3.0. Under the Creative Commons Attribution license, you are free to copy, distribute and adapt this work, including for commercial purposes, under the following conditions: Attribution – Please cite the work as follows: The World Bank. 2015. Optimizing Investments in Georgia’s HIV Response Washington DC: World Bank. License: Creative Commons Attribution CC BY 3.0. Translations – If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by The World Bank and should not be considered an official World Bank translation. The World Bank shall not be liable for any content or error in its translation. All queries on rights and licenses should be addressed to the Office of the Publisher, The World Bank, 1818 H Street NW, Washington DC, 20433, USA; fax: 202-522-2625; email: pubrights@world bank.org.
Keywords: Health; Pandemics; Tuberculosis; TB; Aging; Mortality
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10061814
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