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The Economics of HIV/AIDS in Low-Income Countries: The Case for Prevention

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  • David Canning

    ()
    (Harvard School of Public Health)

Abstract

There are two approaches to reducing the burden of sickness and death associated with HIV/AIDS: treatment and prevention. With limited resources, should the focus be on prevention or treatment? I discuss the range of prevention and treatment alternatives, examine their cost effectiveness, and consider various arguments that have been raised against the use of cost-effectiveness analysis in setting priorities for health. I conclude that promoting AIDS treatment using antiretrovirals in resource-constrained countries comes at a huge cost in terms of avoidable deaths that could be prevented through interventions that would substantially lower the scale of the epidemic.

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File URL: http://www.hsph.harvard.edu/pgda/WorkingPapers/2006/PGDA_WP_18.pdf
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Bibliographic Info

Paper provided by Program on the Global Demography of Aging in its series PGDA Working Papers with number 1806.

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Date of creation: Jun 2006
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Handle: RePEc:gdm:wpaper:1806

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Web page: http://www.hsph.harvard.edu/pgda
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Keywords: HIV; AIDS; low income countries; treatment; prevention;

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References

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Citations

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Cited by:
  1. David Canning & Ajay Mahal & Kunle Odumosu & Prosper OkonkwoZhiwei, 2006. "Assessing the Economic Impact of HIV/AIDS on Nigerian Households: A Propensity Score Matching Approach," PGDA Working Papers 1606, Program on the Global Demography of Aging.
  2. Julia Fimpel & Michael Stolpe, 2010. "The welfare costs of HIV/AIDS in Eastern Europe: an empirical assessment using the economic value-of-life approach," The European Journal of Health Economics, Springer, vol. 11(3), pages 305-322, June.
  3. Jamsheed Shorish, 2007. "Welfare analysis of HIV/AIDS: Formulating and computing a continuous time overlapping generations policy model," The School of Economics Discussion Paper Series 0709, Economics, The University of Manchester.
  4. Nicholas Wilson, 2011. "Fertility Responses to Prevention of Mother-to-Child Transmission of HIV," Center for Development Economics 2011-08, Department of Economics, Williams College, revised Sep 2011.
  5. Jeremy Greenwood & Philipp Kircher & Cezar Santos & Michele Tertilt, 2013. "An Equilibrium Model of the African HIV/AIDS Epidemic," Economie d'Avant Garde Research Reports 20, Economie d'Avant Garde.
  6. Yusuf, Shahid & Nabeshima, Kaoru & Wei Ha, 2007. "What makes cities healthy ?," Policy Research Working Paper Series 4107, The World Bank.
  7. Aureo de Paula & Gil Shapira & Petra E. Todd, 2008. "How Beliefs About HIV Status affect Risky Behaviors: Evidence From Malawi, Second Version," PIER Working Paper Archive 08-041, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 02 Dec 2008.
  8. Ojeaga, Paul, 2012. "Economic policy, does It help life expectancy? an african evidence of the role of economic policy on longevity," MPRA Paper 40199, University Library of Munich, Germany.
  9. Joshua S. Graff Zivin & Harsha Thirumurthy & Markus Goldstein, 2006. "AIDS Treatment and Intrahousehold Resource Allocations: Children's Nutrition and Schooling in Kenya," NBER Working Papers 12689, National Bureau of Economic Research, Inc.
  10. Patrick J. McEwan, 2012. "Cost-effectiveness analysis of education and health interventions in developing countries," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 4(2), pages 189-213, June.
  11. William W. Olney, 2011. "Remittances and the Wage Impact of Immigration," Department of Economics Working Papers 2011-13, Department of Economics, Williams College.
  12. World Bank, 2010. "Malawi - Country Economic Memorandum : Seizing Opportunities for Growth through Regional Integration and Trade - Summary of Main Finding and Recommendations," World Bank Other Operational Studies 2954, The World Bank.
  13. Michael Richards, 2012. "Using the economics of certification to improve the safety and quality of male circumcision in developing countries," Applied Health Economics and Health Policy, Springer, vol. 10(2), pages 77-85, March.
  14. William Easterly, 2008. "Can the West Save Africa?," NBER Working Papers 14363, National Bureau of Economic Research, Inc.
  15. David Canning & Diana Bowser, 2011. "Investing in Health to Improve the Wellbeing of the Disadvantaged: Reversing the Augment of the Marmot Reports," PGDA Working Papers 7811, Program on the Global Demography of Aging.

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