Comparable estimates of health spending are crucial for the assessment of health systems and to optimally deploy health resources. The methods used to track health spending continue to evolve, but little is known about the distribution of spending across diseases. We developed improved estimates of health spending by source, including development assistance for health, and, for the first time, estimated HIV/AIDS spending on prevention and treatment and by source of funding, for 188 countries.We collected published data on domestic health spending, from 1995 to 2015, from a diverse set of international agencies. We tracked development assistance for health from 1990 to 2017. We also extracted 5385 datapoints about HIV/AIDS spending, between 2000 and 2015, from online databases, country reports, and proposals submitted to multilateral organisations. We used spatiotemporal Gaussian process regression to generate complete and comparable estimates for health and HIV/AIDS spending. We report most estimates in 2017 purchasing-power parity-adjusted dollars and adjust all estimates for the effect of inflation.
Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995–2015 / Dieleman, Joseph L; Haakenstad, Annie; Micah, Angela; Moses, Mark; Abbafati, Cristiana; Acharya, Pawan; Adhikari, Tara Ballav; Adou, Arsène Kouablan; Ahmad Kiadaliri, Aliasghar; Alam, Khurshid; Alizadeh-Navaei, Reza; Alkerwi, Ala'a; Ammar, Walid; Antonio, Carl Abelardo T; Aremu, Olatunde; Asgedom, Solomon Weldegebreal; Atey, Tesfay Mehari; Avila-Burgos, Leticia; Awasthi, Ashish; Ayer, Rakesh; Badali, Hamid; Banach, Maciej; Banstola, Amrit; Barac, Aleksandra; Belachew, Abate Bekele; Birungi, Charles; Bragazzi, Nicola L; Breitborde, Nicholas J K; Cahuana-Hurtado, Lucero; Car, Josip; Catalá-López, Ferrán; Chapin, Abigail; Dandona, Lalit; Dandona, Rakhi; Daryani, Ahmad; Dharmaratne, Samath D; Dubey, Manisha; Edessa, Dumessa; Eldrenkamp, Erika; Eshrati, Babak; Faro, André; Feigl, Andrea B; Fenny, Ama P; Fischer, Florian; Foigt, Nataliya; Foreman, Kyle J; Fullman, Nancy; Ghimire, Mamata; Goli, Srinivas; Hailu, Alemayehu Desalegne; Hamidi, Samer; Harb, Hilda L; Hay, Simon I; Hendrie, Delia; Ikilezi, Gloria; Javanbakht, Mehdi; John, Denny; Jonas, Jost B; Kaldjian, Alexander; Kasaeian, Amir; Kates, Jennifer; Khalil, Ibrahim A; Khang, Young-Ho; Khubchandani, Jagdish; Kim, Yun Jin; Kinge, Jonas M; Kosen, Soewarta; Krohn, Kristopher J; Kumar, G Anil; Lam, Hilton; Listl, Stefan; Magdy Abd El Razek, Hassan; Magdy Abd El Razek, Mohammed; Majeed, Azeem; Malekzadeh, Reza; Malta, Deborah Carvalho; Mensah, George A; Meretoja, Atte; Miller, Ted R; Mirrakhimov, Erkin M; Mlashu, Fitsum Weldegebreal; Mohammed, Ebrahim; Mohammed, Shafiu; Naghavi, Mohsen; Nangia, Vinay; Ngalesoni, Frida Namnyak; Nguyen, Cuong Tat; Nguyen, Trang Huyen; Niriayo, Yirga; Noroozi, Mehdi; Owolabi, Mayowa O; Pereira, David M; Qorbani, Mostafa; Rafay, Anwar; Rafiei, Alireza; Rahimi-Movaghar, Vafa; Rai, Rajesh Kumar; Ram, Usha; Ranabhat, Chhabi Lal; Ray, Sarah E; Reiner, Robert C; Sadat, Nafis; Sajadi, Haniye Sadat; Santos, João Vasco; Sarker, Abdur Razzaque; Sartorius, Benn; Satpathy, Maheswar; Savic, Miloje; Schneider, Matthew; Sepanlou, Sadaf G; Shaikh, Masood Ali; Sharif, Mehdi; She, Jun; Sheikh, Aziz; Sisay, Mekonnen; Soneji, Samir; Soofi, Moslem; Tadesse, Henok; Tao, Tianchan; Templin, Tara; Tesema, Azeb Gebresilassie; Thapa, Subash; Thomson, Alan J; Tobe-Gai, Ruoyan; Topor-Madry, Roman; Tran, Bach Xuan; Tran, Khanh Bao; Tran, Tung Thanh; Undurraga, Eduardo A; Vasankari, Tommi; Violante, Francesco S; Wijeratne, Tissa; Xu, Gelin; Yonemoto, Naohiro; Younis, Mustafa Z; Yu, Chuanhua; Zaki, Maysaa El Sayed; Zhou, Lei; Zlavog, Bianca; Murray, Christopher J L. - In: THE LANCET. - ISSN 0140-6736. - STAMPA. - 391:10132(2018), pp. 1799-1829. [10.1016/S0140-6736(18)30698-6]
Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995–2015
Abbafati, Cristiana;
2018
Abstract
Comparable estimates of health spending are crucial for the assessment of health systems and to optimally deploy health resources. The methods used to track health spending continue to evolve, but little is known about the distribution of spending across diseases. We developed improved estimates of health spending by source, including development assistance for health, and, for the first time, estimated HIV/AIDS spending on prevention and treatment and by source of funding, for 188 countries.We collected published data on domestic health spending, from 1995 to 2015, from a diverse set of international agencies. We tracked development assistance for health from 1990 to 2017. We also extracted 5385 datapoints about HIV/AIDS spending, between 2000 and 2015, from online databases, country reports, and proposals submitted to multilateral organisations. We used spatiotemporal Gaussian process regression to generate complete and comparable estimates for health and HIV/AIDS spending. We report most estimates in 2017 purchasing-power parity-adjusted dollars and adjust all estimates for the effect of inflation.| File | Dimensione | Formato | |
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