[Evaluation of the United Nations Declaration on HIV/AIDS resource targets].
This study evaluates the targets of the United Nations Declaration on HIV/AIDS Resource Targets, the attainment of which are premised on promoting three fronts: reduction of material and services costs, increased efficiency in access to and management of funds, and the channeling of new funds. Data were derived from studies of National Accounts of HIV/AIDS in Latin America and the Caribbean and from the recent available literature on the global dynamics of HIV/AIDS resources. The economic concept of global public good occurs throughout the text. The article discusses factors that constrain funding, and thus compel the adoption of new strategies in Brazil. The issues addressed include: difficulties in maintaining the downward tendency in the cost of items related to the HIV/AIDS epidemic, the incorporation each year of thousands of persons needing antiviral therapy, the rise in patient survival and increased diagnosis for the control of HIV/AIDS transmission. It is concluded that, in order to guarantee additional resources to combat the epidemic, the discussion on funding must necessarily focus on both the share of AIDS support for the Brazilian Ministry of Health, and, more importantly, on an increase in health funding as a whole. The recognition that HIV/AIDS control contributes to the global public good should facilitate increases in development assistance from international funding sources.
Teixeira
Luciana
L
Departamento de Economia, Universidade de Brasília, 70797-090 Brasília, DF, Brasil. Luciana.texeira@camara.gov.br
D000163:Acquired Immunodeficiency Syndrome / Q000191:economics / Q000517:prevention & control; D019380:Anti-HIV Agents / Q000191:economics; D017691:Caribbean Region; D005260:Female; D005380:Financing, Government; D015658:HIV Infections / Q000191:economics / Q000517:prevention & control*; D005102:Health Expenditures; D006295:Health Resources / Q000191:economics*; D006801:Humans; D007843:Latin America; D008297:Male; D015397:Program Evaluation; D011640:Public Policy; D011785:Quality Assurance, Health Care / Q000191:economics*; D014480:United Nations
D019380:Anti-HIV Agents