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Perspectives on the use of modelling and economic analysis to guide HIV programmes in sub-Saharan Africa

Revill, P; Rangaraj, A; Makochekanwa, A; Mpofu, A; Ciaranello, AL; Jahn, A; Gonani, A; ... Cambiano, V; + view all (2022) Perspectives on the use of modelling and economic analysis to guide HIV programmes in sub-Saharan Africa. The Lancet HIV , 9 (7) e517-e520. 10.1016/S2352-3018(22)00035-2. Green open access

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Abstract

HIV modelling and economic analyses have had a prominent role in guiding programmatic responses to HIV in sub-Saharan Africa. However, there has been little reflection on how the HIV modelling field might develop in future. HIV modelling should more routinely align with national government and ministry of health priorities, recognising their legitimate mandates and stewardship responsibilities, for HIV and other wider health programmes. Importance should also be placed on ensuring collaboration between modellers, and that joint approaches to addressing modelling questions, becomes the norm rather than the exception. Such an environment can accelerate translation of modelling analyses into policy formulation because areas where models agree can be prioritised for action, whereas areas over which uncertainty prevails can be slated for additional study, data collection, and analysis. HIV modelling should increasingly be integrated with the modelling of health needs beyond HIV, particularly in allocative efficiency analyses, where focusing on one disease over another might lead to worse health overall. Such integration might also enhance partnership with national governments whose mandates extend beyond HIV. Finally, we see a need for there to be substantial and equitable investment in capacity strengthening within African countries, so that African researchers will increasingly be leading modelling exercises. Building a critical mass of expertise, strengthened through external collaboration and knowledge exchange, should be the ultimate goal.

Type: Article
Title: Perspectives on the use of modelling and economic analysis to guide HIV programmes in sub-Saharan Africa
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S2352-3018(22)00035-2
Publisher version: https://doi.org/10.1016/S2352-3018(22)00035-2
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Africa South of the Sahara, HIV Infections, Humans, Research Personnel
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
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 > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10154020
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