Table of Contents

Setting Priorities for HIV/AIDS Interventions

Setting Priorities for HIV/AIDS Interventions

A Cost–Benefit Approach

Robert J. Brent

HIV/AIDS is much too complex a phenomenon to be understood only by reference to common sense and ethical codes. This book presents the cost–benefit analysis (CBA) framework in a well-researched and accessible manner to ensure that the most important considerations are recognized and incorporated.

Chapter 6: What is Wrong with Setting the Particular MDG Targets?

Robert J. Brent

Subjects: development studies, development economics, economics and finance, development economics, health policy and economics, public finance, social policy and sociology, health policy and economics


We have just examined the weaknesses of targets in general terms. Let us now look at problems in detail with Target 7 of the MDGs. Recall that this wanted to “Have halted by 2015 and begun to reverse the spread of HIV/ AIDS” (see Chapter 5). Even the task force set up by the UN to recommend strategies for implementing the MDGs asked the question, “What does ‘halting the spread of HIV/AIDS’ mean and how will we know when it has been achieved?” (UN Millennium Project, 2005, pp. 24–6). It points out that if one takes a literal interpretation, that is, bringing the number of new infections to zero, the target is unsatisfactory for two reasons. It is not feasible to achieve this by 2015 and it focuses solely on prevention and sets no target for treating those already with HIV. The criticism that Target 7 ignores treatment is obviously valid and warrants no further discussion. So let us examine the feasibility issue further. FEASIBILITY AS AN ECONOMIC ISSUE The only sure way to ensure that there are no new cases of HIV is to have a vaccine that is 100 percent effective and that this vaccine is given to everyone. As of 2009, such a vaccine does not exist. If it did exist, there is no way that the world’s population will all have been vaccinated by 2015, given that the BCG vaccination for TB already exists and there is not 100 percent compliance (perhaps because it is...

You are not authenticated to view the full text of this chapter or article.

Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.

Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.

Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.

Further information