Optima | Using Optima
We were fortunate to be able to use this analysis for making the key decision regarding funding distribution between programs targeting the different key affected populations and strengthening the interventions that will be more effective for prevention and control of the HIV epidemic in Georgia. Ketevan Stvilia, HIV program manager – NCDC, Georgia

Several countries have used Optima analyses to inform their national HIV strategies or to develop concept notes for the Global Fund. Optima is also used in supporting the World Bank with their in-country HIV allocative efficiency analyses.

Case study: Sudan

In Sudan, the Optima analysis recommended the country increase the focus of its HIV response to antiretroviral therapy and prevention for key populations including female sex workers (FSW) and men who have sex with men.

With the same amount of money, this strategic shift in investment is projected to reduce incidence by 37% by 2020. In addition, 3,200 new HIV infections and 1,100 deaths will be averted between 2015 and 2017. If the more strategic allocations are maintained up to 2030, they would avert 49,000 new infections and 14,000 deaths.

When budgets were assigned for 2015-2017, despite the fact that the total amount of funding was less than current levels, more funding was available for these key programs, which led to a predicted reduction in total new infections.

Case study: Niger

In Niger, an Optima analysis considered the 2014-2017 budget and aimed at reducing HIV incidence. This optimization process recommended increasing funding for female sex workers, with 7,000 extra infections predicted to be averted; prevention of mother-to-child transmission (PMTCT), which reduces MTCT by 50%, or 1,400 infections; and ART, corresponding to 3,400 infections. Funding for programs for low-risk populations were reduced and assigned to the two targeted programs (FSW and PMTCT). This was estimated to lead to 3,000 additional infections amongst low-risk populations; however, the net benefit would still be very positive – 8,900 infections averted.

Optima can be used to estimate all of the indicators in the newly published WHO Consolidated strategic information guidelines for HIV in the health sector .

For further details of these country analysis or examples of other country analysis see Optima Publications.