Priority setting in HIV/AIDS control in West Java Indonesia: an evaluation based on the accountability for reasonableness framework

Tromp, Noor; Prawiranegara, Rozar; Riparev, Harris Subhan; Siregar, Adiatma Y. M.; Sunjaya, Deni Kurniadi; Baltussen, Rob

doi:10.1093/heapol/czu020

Cited by 24 publications

(25 citation statements)

References 27 publications

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“…The self-explicated ranking of criteria finds the “effectiveness” criterion to be the highest ranked criterion by respondents. This is in keeping with previous studies in rating importance of criteria in Asia that also found effectiveness to be the most important criterion for prioritizing interventions in the HIV response [ 15 , 25 ]. A systematic review of criteria in priority setting of HIV and health care also found effectiveness to be among the highest cited criteria in the literature [ 33 , 40 ].…”

Section: Discussionsupporting

confidence: 89%

“…A number of studies have considered multiple criteria explicitly to prioritize specific prevention interventions [ 18 , 21 , 22 ] or HIV treatment [ 23 , 24 ]. In Indonesia and Pakistan, a broad set of HIV interventions in the national HIV response were considered, and stakeholders were involved in self-explicating the importance of criteria for priority setting [ 25 , 26 ]. A Thai study used more rigorous experimental methods to rate criteria that guide priority setting, involving decision-makers as well as stakeholders living with or at higher risk of HIV, thereby reducing the bias in self-reported importance of criteria [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Criteria for prioritization of HIV programs in Viet Nam: a discrete choice experiment

Safarnejad

Pavlova

Son

et al. 2017

BMC Health Serv Res

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BackgroundWith the decline in funding for Viet Nam’s response to the HIV epidemic, there is a need for evidence on the criteria to guide the prioritization of HIV programs. There is a gap in the research on the relative importance of multiple criteria for prioritizing a package of interventions. This study elicits preferences and the trade-offs made between different HIV programs by relevant stakeholders and decision-makers in Viet Nam. It also pays attention to how differences in social and professional characteristics of stakeholders and their agency affiliations shape preferences for HIV program criteria in Viet Nam.MethodsThis study uses self-explicated ranking and discrete choice experiments to determine the relative importance of five criteria - effectiveness, feasibility, cost-effectiveness, rate of investment and prevention/treatment investment ratio - to stakeholders when they evaluate and select hypothetical HIV programs. The study includes 69 participants from government, civil society, and international development partners.ResultsResults of the discrete choice experiment show that overall the feasibility criterion is ranked highest in importance to the participants when choosing a hypothetical HIV program, followed by sustainability, treatment to prevention spending ratio, and effectiveness. The participant’s work in management, programming, or decision-making has a significant effect on the importance of some criteria to the participant. In the self-explicated ranking effectiveness is the most important criterion and the cost-effectiveness criterion ranks low in importance across all groups.ConclusionsThis study has shown that the preferred HIV program in Viet Nam is feasible, front-loaded for sustainability, has a higher proportion of investment on prevention, saves more lives and prevents more infections. Similarities in government and civil society rankings of criteria can create common grounds for future policy dialogues between stakeholders. Innovative models of planning should be utilized to allow inputs of informed stakeholders at relevant stages of the HIV program planning process.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2679-0) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Criteria for prioritization of HIV programs in Viet Nam: a discrete choice experiment

Safarnejad

Pavlova

Son

et al. 2017

BMC Health Serv Res

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“…It is also in line with the worldwide preference to reduce new infections and AIDS related deaths, as is reflected in the UNAIDS goals for Asia (i.e., zero new infections, zero new death, and zero discrimination). Indonesia's national and West-Java provincial HIV strategies stress the importance of intervention's impact on the epidemic, however, it is not mentioned as an explicit criterion for priority setting ( 3 ; 6 ). Similarly, our respondents rated PWID as the most important target group for interventions with the reason that they are important in the spread of the HIV epidemic.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the National AIDS Spending Assessment, most resources on national level were spent on curative services (36 percent compared with 28 percent on preventive services) in 2012 ( 5 ). At provincial and district level, the allocation of domestic resources is poorly reported and the process of priority setting of interventions could be improved ( 6 ). The AIDS commissions (established at national, provincial and district level) is challenged to coordinate the HIV/AIDS response among multiple stakeholders.…”

mentioning

confidence: 99%

Importance of Multiple Criteria for Priority Setting of Hiv/Aids Interventions

Tromp

Prawiranegara

Siregar

et al. 2015

Int J Technol Assess Health Care

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Objectives: This study describes the views of various stakeholders on the importance of different criteria for priority setting of HIV/AIDS interventions in Indonesia.Methods: Based on a general list of criteria and a focus group discussion with stakeholders (n = 6), a list was developed of thirty-two criteria that play a role in priority setting in HIV/AIDS control in West-Java province. Criteria were categorized according to the World Health Organization's health system goals and building block frameworks. People living with HIV/AIDS (n = 49), healthcare workers (HCW) (n = 41), the general population (n = 43), and policy makers (n = 22) rated the importance of thirty-two criteria on a 5-point Likert-scale. Thereafter, respondents ranked the highest rated criteria to express more detailed preferences.Results: Stakeholders valued the following criteria as most important for the priority setting of HIV/AIDS interventions: an intervention's impact on the HIV/AIDS epidemic, reduction of stigma, quality of care, effectiveness on individual level, and feasibility in terms of current capacity of the health system (i.e., HCW, product, information, and service requirements), financial sustainability, and acceptance by donors. Overall, stakeholders’ preferences for the importance of criteria are similar.Conclusions: Our study design outlines an approach for other settings to identify which criteria are important for priority setting of health interventions. For Indonesia, these study results may be used in priority setting processes for HIV/AIDS control and may contribute to more transparent and systematic allocation of resources.

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“…Fourthly, in this analysis only four interventions were taken into account whereas, in reality, there was a wide array of interventions in HIV/AIDS in Bandung. 23 For this reason, our study findings are only of partial use to inform priority setting in this context. Fifth, we did not systematically assess the eff of the four interventions.…”

Section: Limitationsmentioning

confidence: 97%

Comparative Cost Analysis of Four Interventions to Prevent HIV Transmission in Bandung, Indonesia

Verstraaten

Beeren

Janssen

et al. 2019

Preprint

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Background: the costs of HIV/AIDS interventions in Indonesia are largely unknown. Knowing these costs is animportant input for policy makers in the decision-making of setting priorities among HIV/AIDS interventions. Theaim of this analysis is to determine the costs of four HIV/AIDS interventions in Bandung, Indonesia in 2015, to informthe local AIDS commission. Methods: data on utilization and costs of the different interventions were collected in asexual transmitted infections (STI)-clinic and the KPA, the local HIV/AIDS commission, for the period of January2015-December 2015. The costs were estimated from a societal perspective, using a micro-costing approach. Results:the total annualized costs for condom distribution, mobile voluntary counselling and testing (VCT), religious basedinformation, communication, and education (IEC) and STI services equalled US$56,926, US$2,985, US$1,963 andUS$5,865, respectively. Conclusion: this analysis has provided cost estimates of four different HIV/AIDS interventionsin Bandung, Indonesia. Additionally, it has estimated the costs of scaling up these interventions. Together, this providesimportant information for policy makers vis-à-vis the implementation of these interventions. However, an evaluationof the effectiveness of these interventions is needed to estimate the cost-effectiveness.

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Priority setting in HIV/AIDS control in West Java Indonesia: an evaluation based on the accountability for reasonableness framework

Abstract: To increase fairness in HIV/AIDS priority setting, West Java should make improvements on all four conditions of the A4R framework.

Cited by 24 publications

References 27 publications

Criteria for prioritization of HIV programs in Viet Nam: a discrete choice experiment

Criteria for prioritization of HIV programs in Viet Nam: a discrete choice experiment

Importance of Multiple Criteria for Priority Setting of Hiv/Aids Interventions

Comparative Cost Analysis of Four Interventions to Prevent HIV Transmission in Bandung, Indonesia

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