AbstractsMedical & Health Science

A novel approach to priority-setting for HIV prevention among adults in Uganda

by Grace Achungura Kabaniha

Institution: Deakin University
Department: School of Population Health
Year: 2014
Keywords: HIV prevention; Uganda; resource allocation
Record ID: 1032012
Full text PDF: http://hdl.handle.net/10536/DRO/DU:30067354


 The study used economic and ethical theory, empirical evidence and local stakeholders views to develop a checklist of features of an ideal approach to priority-setting. This was used to determine the ideal approach for priority-setting for HIV prevention in Uganda. The Assessing Cost-Effectiveness (ACE) approach was determined to be the ideal approach using the checklist developed. A pilot study using the approach determined that in Uganda, blood safety and HIV counselling interventions are the most cost-effective, equitable and acceptable interventions. Mass media interventions were the least cost-effective and affordable, had a weak evidence base but were more acceptable. On the other hand interventions targeting Most-at-risk-populations were cost-effective but least acceptable. The study demonstrates the importance of balancing technical rigor and due process to ensure buy-in by stakeholders.