22-24 May 2012 (Stellenbosch) Using SPECTRUM to Investigate Cost and Impact of HIV Interventions. 3-day workshop. Course completed.

Posted on Mon, May 14 2012 14:28:00

 

To apply for this course, click here.

 

Please note: 

Registration fee for external participants is R1000, including refreshments and 3 lunches. Instructions for payment will be given to successful applicants. SACEMA-funded students are exempted from reg. fee but are responsible for their own travel and accommodation.


Workshop: Using Spectrum to investigate cost and impact of HIV interventions

The purpose of the workshop is to

·         Familiarize users with the methods of Spectrum AIM and Goals

·         Train them in the use of AIM and Goals for strategic applications

·         Set up a baseline Spectrum projection

·         Apply the Goals model to assess the cost and impact of scaling-up different HIV prevention strategies

·         Using interacting Spectrum modules for strategic decision making

Spectrum is a suite of easy to use policy models that support analysis, planning and advocacy for health programs. It is used to project future needs and examine the effects of policy options. Spectrum contains the following components: demographical, family planning, AIDS impact, child survival, safe motherhood, Goals, TB and others.

AIM projects the consequences of the HIV epidemic, including the number of people living with HIV, new infections, AIDS deaths by age and sex, ART and PMTCT need, as well as AIDS orphans. AIM is used by UNAIDS to make the national and regional estimates. Countries use AIM to estimate the cost and impact of providing ART and PMTCT of scale-up, among other purposes.

Goals is a simulation model for policy analysis and planning in the HIV prevention health sector. It is designed to support the development of strategic plans for HIV by analyzing needs, impact and cost. It has been used to support strategic planning in a number of countries and to support global analysis and goal setting,,.

The Resource Needs Model (RNM) calculates the total resources needed for prevention, care, and orphan and vulnerable children support for HIV/AIDS on a national level. The model handles various HIV interventions: 1) behavioral interventions for general and prioritized populations, 2) service delivery (e.g. SMC), 3) health care (e.g. blood safety), 4) treatment and care, and 5) mitigation (e.g. administrative expenses). There are three elements to the costing methodology of each intervention: population target groups, unit costs and coverage.


 

Day 1, Tuesday 22 May

Objectives

1.       Overview of Spectrum, with emphasis on AIM and Goals

2.       Basic understanding of HIV modeling:  transmission equation and role of interventions

3.       Basic understanding of MOT, Impact Matrix and GoalsExpress

Time

Objective

Description

8h15 : 8h30

Arrival

Arrive at venue and settle in

8h30 : 9h30

Introductions and overview

Background and objectives

9h30 : 10h30

Spectrum Overview

Overview of Spectrum with emphasis on AIM and Goals

10h30 : 10h45

Break

Break for coffee, tea

10h45 : 11h30

Goals Overview

Continue overview, emphasis on Goals

11h30 : 12h30

An introduction to HIV modeling

Introduce concepts of HIV modeling: transmission equation, role of behavioral parameters and prevention

     

12h30 : 13h30

Lunch

Break for lunch

13h30 : 14h30

The Impact Matrix

Estimating the impact of behavior change interventions: the Impact Matrix

14h30 : 15h15

The MOT model

Calculating new infections by risk group for a single year: the Modes of Transmission

15h15 : 15h30

Break

Break for coffee, tea

15h30 : 16h00

Expanding the MOT model

Including behavioral and biomedical interventions in the MOT model

16h00 : 17h00

Goals Express

Transmission dynamics over time: Goals Express

 


 

Day 2, Wednesday 23 May

Objectives

 

1.       Develop a thorough understanding of the methods in the AIM

2.       Develop a thorough understanding of the methods in the Goals model

3.       Understand how to fit a Goals model to a national epidemic

4.       Understand how to specify unit cost and intervention coverage in RNM

5.       Using interacting modules for strategic decision making

Time

Objective

Description

8h15 : 8h30

Arrival

Arrive at venue and settle in

8h30 : 9h30

AIM Overview

Overview of AIM, emphasis on CD4 structure, its dynamics and the effects of different eligibility criteria for treatment on the need for treatment, mortality and new infections.

9h30 : 10h30

Spectrum Software

Introduction to the Spectrum software, setting up model, viewing results. Discussion of interactions between AIM and Goals.

10h30 : 10h45

Break

Break for coffee, tea

10h45 : 11h30

Goals data requirements

Introduction to Goals data editors

11h30 : 12h30

Setting up a Goals Model

Setting up/Refining a Goals projection. Review data requirements.

12h30 : 13h30

Lunch

Break for lunch

13h30 : 14h30

Resource allocation, an overview

Overview of HIV program costing and resource allocation.

14h30 : 15h15

The Resource Needs Model

Overview of RNM. How much funding do we need?

15h15 : 15h30

Break

Break for coffee, tea

15h30 : 16h00

Decision Making

Using interacting Spectrum modules for strategic decision making. Project and analyze alternate projections. Emphasis on UNAIDs' investment framework.

16h00 : 17h00

Cost and Impact with Goals

Using Goals to evaluate the cost and impact of combination prevention.

 


 

Day 3, Thursday 24 May

Objectives

1.       Review  a country baseline projection (emphasis and Goals and AIM)

2.       Develop alternate models for different prevention scale-up scenarios

3.       Compare scenarios in terms of relative cost-effectiveness

4.       Formulate a strategy for cost-effectiveness analysis

Time

Objective

Description

8h15 : 8h30

Arrival

Arrive at venue and settle in

8h30 : 9h30

Baseline Model

Review baseline model. Emphasis on triangulation with available data.

9h30 : 10h30

Formulate  cost-effectiveness scenarios

Formulate various scenarios relative to baseline: expanding ART, SMC, VCT and behavioral prevention services.

10h30 : 10h45

Break

Break for coffee, tea

10h45 : 11h30

Formulate  cost-effectiveness scenarios

Formulate various scenarios relative to baseline: expanding ART, SMC, VCT and behavioral prevention services.

11h30 : 12h30

Compare models to baseline

Compare alternative prevention models to baseline. Use Excel template for comparison.

12h30 : 13h30

Lunch

Break for lunch

13h30 : 14h30

Compare models in terms of cost-effectiveness

Compare alternative prevention models to baseline in terms of cost-effectiveness.

14h30 : 15h15

Overview

Overview of workshop

15h15 : 15h30

Break

Break for coffee, tea

15h30

 

End of workshop

 



Schwartlander B, Stover J, Hallett T, Atun R, Avila C, Gouws E, et al. Towards and improved investment approach for an effective response to HV/AIDS Lancet Published online June 3, 2011. DOI:10.1016/S0140-6736(11)60702-2.

Hecht R, Bollinger L, Stover J, McGreevey W, Muhib F, Madavo CE, de Ferranti D. Critical Choices in Financing the Response to the Global HIV/AIDS Pandemic Health Affairs 2009, 28:6; 1-15. doi10.1377/HlthAff28.61.

Stover J, Bertozzi S, Gutierrez JP, Walker N, Stanecki KA, Greener R, Gouws E, Hankins C, Garnett GP, Solomon JA, Boerma JT, De Lay P, Ghys PD. The Global Impact of Scaling-Up HIV/AIDS Prevention Programs in Low- and Middle-Income Countries. Science 10 March 2006; Vol 311.no.5766, pp. 1474-1476.