title: Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis.
abstract: AIDS is one of the most significant health care problems worldwide. Due to the difficulty and costs involved in treating HIV, preventing infection is of paramount importance in controlling the AIDS epidemic. The main purpose of this paper is to explore the potential of using Data Envelopment Analysis (DEA) to establish international comparisons on the efficiency of implementation of HIV prevention programmes. To do this we use data from 52 low- and middle-income countries regarding the prevention of mother-to-child transmission of HIV. Our results indicate that there is a remarkable variation in the efficiency of prevention services across nations, suggesting that a better use of resources could lead to more and improved services, and ultimately, prevent the infection of thousands of children. These results also demonstrate the potential strategic role of DEA for the efficient and effective planning of scarce resources to fight the epidemic.
authors.affiliation: Faculty of Economics, University of Algarve, 8005-139, Faro, Portugal. ssantos@ualg.pt
authors.forename: Sérgio P
authors.initials: SP
authors.lastname: Santos
authors.forename: Carla A E
authors.initials: CA
authors.lastname: Amado
authors.forename: Mauro F
authors.initials: MF
authors.lastname: Santos
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics / Q000517:prevention & control / Q000635:transmission; D044966:Anti-Retroviral Agents / Q000008:administration & dosage*; D001942:Breast Feeding / Q000379:methods; D003362:Cost-Benefit Analysis; D003906:Developing Countries; D005260:Female; D015658:HIV Infections / Q000191:economics / Q000517:prevention & control* / Q000635:transmission*; D015438:Health Behavior; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000191:economics / Q000517:prevention & control*; D018743:Perinatal Care / Q000379:methods; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000517:prevention & control
chemical_list: D044966:Anti-Retroviral Agents