IDEAS home Printed from https://ideas.repec.org/a/kap/hcarem/v10y2007i3p239-252.html
   My bibliography  Save this article

A linear programming model for allocating HIV prevention funds with state agencies: a pilot study

Author

Listed:
  • Stephanie Earnshaw
  • Katherine Hicks
  • Anke Richter
  • Amanda Honeycutt

Abstract

Given the initiatives to improve resource allocation decisions for HIV prevention activities, a linear programming model was designed specifically for use by state and local decision-makers. A pilot study using information from the state of Florida was conducted and studied under a series of scenarios depicting the impact of common resource allocation constraints. Improvements over the past allocation strategy in the number of potential infections averted were observed in all scenarios with a maximal improvement of 73%. When allocating limited resources, policymakers must balance efficiency and equity. In this pilot study, the optimal allocation (i.e., most-efficient strategy) would not distribute resources in an equitable manner. Instead, only 12% of at-risk people would receive prevention funds. We find that less efficient strategies, where 58% fewer infections are averted, result in significantly more equitable allocations. This tool serves as a guide for allocating funds for prevention activities. Copyright Springer Science+Business Media, LLC 2007

Suggested Citation

  • Stephanie Earnshaw & Katherine Hicks & Anke Richter & Amanda Honeycutt, 2007. "A linear programming model for allocating HIV prevention funds with state agencies: a pilot study," Health Care Management Science, Springer, vol. 10(3), pages 239-252, September.
    • Handle: RePEc:kap:hcarem:v:10:y:2007:i:3:p:239-252
    DOI: 10.1007/s10729-007-9017-8
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s10729-007-9017-8
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s10729-007-9017-8?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Stinnett, Aaron A. & Paltiel, A. David, 1996. "Mathematical programming for the efficient allocation of health care resources," Journal of Health Economics, Elsevier, vol. 15(5), pages 641-653, October.
    2. Pinkerton, Steven D. & Johnson-Masotti, Ana P. & Derse, Arthur & Layde, Peter M., 2002. "Ethical issues in cost-effectiveness analysis," Evaluation and Program Planning, Elsevier, vol. 25(1), pages 71-83, February.
    3. Brandeau, Margaret L. & Zaric, Gregory S. & Richter, Anke, 2003. "Resource allocation for control of infectious diseases in multiple independent populations: beyond cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 22(4), pages 575-598, July.
    4. Pinkerton, Steven D. & Abramson, Paul R., 1997. "Effectiveness of condoms in preventing HIV transmission," Social Science & Medicine, Elsevier, vol. 44(9), pages 1303-1312, May.
    5. Zaric, G.S. & Barnett, P.G. & Brandeau, M.L., 2000. "HIV transmission and the cost-effectiveness of methadone maintenance," American Journal of Public Health, American Public Health Association, vol. 90(7), pages 1100-1111.
    6. Gregory S. Zaric & Margaret L. Brandeau, 2007. "A Little Planning Goes a Long Way: Multilevel Allocation of HIV Prevention Resources," Medical Decision Making, , vol. 27(1), pages 71-81, January.
    7. Gregory S. Zaric & Margaret L. Brandeau, 2001. "Optimal Investment in a Portfolio of HIV Prevention Programs," Medical Decision Making, , vol. 21(5), pages 391-408, October.
    8. Anderson, J.E., 2003. "Condom Use and HIV Risk among US Adults," American Journal of Public Health, American Public Health Association, vol. 93(6), pages 912-914.
    9. Lasry, Arielle & Zaric, Gregory S. & Carter, Michael W., 2007. "Multi-level resource allocation for HIV prevention: A model for developing countries," European Journal of Operational Research, Elsevier, vol. 180(2), pages 786-799, July.
    10. Pinkerton, S.D. & Holtgrave, D.R. & DiFranceisco, W.J. & Stevenson, L.Y. & Kelly, J.A., 1998. "Cost-effectiveness of a community-level HIV risk reduction intervention," American Journal of Public Health, American Public Health Association, vol. 88(8), pages 1239-1242.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chih-Ching Yang, 2017. "Measuring health indicators and allocating health resources: a DEA-based approach," Health Care Management Science, Springer, vol. 20(3), pages 365-378, September.
    2. Sabina S. Alistar & Margaret L. Brandeau, 2012. "Decision Making for HIV Prevention and Treatment Scale up," Medical Decision Making, , vol. 32(1), pages 105-117, January.
    3. Allison L. Pitt & Jeremy D. Goldhaber-Fiebert & Margaret L. Brandeau, 2020. "Public Health Interventions with Harms and Benefits: A Graphical Framework for Evaluating Tradeoffs," Medical Decision Making, , vol. 40(8), pages 978-989, November.
    4. Karsu, Özlem & Morton, Alec, 2015. "Inequity averse optimization in operational research," European Journal of Operational Research, Elsevier, vol. 245(2), pages 343-359.
    5. Richter, Anke & Hicks, Katherine A. & Earnshaw, Stephanie R. & Honeycutt, Amanda A., 2008. "Allocating HIV prevention resources: A tool for state and local decision making," Health Policy, Elsevier, vol. 87(3), pages 342-349, September.
    6. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    7. Xuecheng Yin & İ. E. Büyüktahtakın, 2021. "A multi-stage stochastic programming approach to epidemic resource allocation with equity considerations," Health Care Management Science, Springer, vol. 24(3), pages 597-622, September.
    8. Selin Özpeynirci & Özgür Özpeynirci & Vincent Mousseau, 2021. "An interactive algorithm for resource allocation with balance concerns," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 43(4), pages 983-1005, December.
    9. Sanjay Mehrotra & Hamed Rahimian & Masoud Barah & Fengqiao Luo & Karolina Schantz, 2020. "A model of supply‐chain decisions for resource sharing with an application to ventilator allocation to combat COVID‐19," Naval Research Logistics (NRL), John Wiley & Sons, vol. 67(5), pages 303-320, August.
    10. Nadia Demarteau & Thomas Breuer & Baudouin Standaert, 2012. "Selecting a Mix of Prevention Strategies against Cervical Cancer for Maximum Efficiency with an Optimization Program," PharmacoEconomics, Springer, vol. 30(4), pages 337-353, April.
    11. Jessie L. Juusola & Margaret L. Brandeau, 2016. "HIV Treatment and Prevention," Medical Decision Making, , vol. 36(3), pages 391-409, April.
    12. Nguenda anya Saturnin bertrand, 2017. "An analysis of the efficiency of the National Programme for the Fight against HIV/AIDs in Cameroon," Economics Bulletin, AccessEcon, vol. 37(2), pages 1068-1076.
    13. Karsu, Özlem & Morton, Alec, 2014. "Incorporating balance concerns in resource allocation decisions: A bi-criteria modelling approach," Omega, Elsevier, vol. 44(C), pages 70-82.
    14. Susan Cleary & Gavin Mooney & Di McIntyre, 2010. "Equity and efficiency in HIV‐treatment in South Africa: the contribution of mathematical programming to priority setting," Health Economics, John Wiley & Sons, Ltd., vol. 19(10), pages 1166-1180, October.
    15. Sanjay Mehrotra & Kibaek Kim, 2011. "Outcome based state budget allocation for diabetes prevention programs using multi-criteria optimization with robust weights," Health Care Management Science, Springer, vol. 14(4), pages 324-337, November.
    16. Margaret Brandeau & Gregory Zaric, 2009. "Optimal investment in HIV prevention programs: more is not always better," Health Care Management Science, Springer, vol. 12(1), pages 27-37, March.
    17. Konrad, Renata A., 2019. "Designing awareness campaigns to counter human trafficking: An analytic approach," Socio-Economic Planning Sciences, Elsevier, vol. 67(C), pages 86-93.
    18. Sérgio Santos & Carla Amado & Mauro Santos, 2012. "Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis," Health Care Management Science, Springer, vol. 15(3), pages 206-222, September.
    19. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2015. "An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations," European Journal of Operational Research, Elsevier, vol. 247(1), pages 321-334.
    20. Jing Yao & Alan T. Murray, 2014. "Locational Effectiveness of Clinics Providing Sexual and Reproductive Health Services to Women in Rural Mozambique," International Regional Science Review, , vol. 37(2), pages 172-193, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Linus Nyiwul, 2021. "Epidemic Control and Resource Allocation: Approaches and Implications for the Management of COVID-19," Studies in Microeconomics, , vol. 9(2), pages 283-305, December.
    2. Margaret Brandeau & Gregory Zaric, 2009. "Optimal investment in HIV prevention programs: more is not always better," Health Care Management Science, Springer, vol. 12(1), pages 27-37, March.
    3. McKenna, Claire & Chalabi, Zaid & Epstein, David & Claxton, Karl, 2010. "Budgetary policies and available actions: A generalisation of decision rules for allocation and research decisions," Journal of Health Economics, Elsevier, vol. 29(1), pages 170-181, January.
    4. Sabina Alistar & Elisa Long & Margaret Brandeau & Eduard Beck, 2014. "HIV epidemic control—a model for optimal allocation of prevention and treatment resources," Health Care Management Science, Springer, vol. 17(2), pages 162-181, June.
    5. Jing Yao & Alan T. Murray, 2014. "Locational Effectiveness of Clinics Providing Sexual and Reproductive Health Services to Women in Rural Mozambique," International Regional Science Review, , vol. 37(2), pages 172-193, April.
    6. Zoë K. Harris, 2006. "Efficient allocation of resources to prevent HIV infection among injection drug users: the Prevention Point Philadelphia (PPP) needle exchange program," Health Economics, John Wiley & Sons, Ltd., vol. 15(2), pages 147-158, February.
    7. Konrad, Renata A., 2019. "Designing awareness campaigns to counter human trafficking: An analytic approach," Socio-Economic Planning Sciences, Elsevier, vol. 67(C), pages 86-93.
    8. Brandeau, Margaret L. & Zaric, Gregory S. & Richter, Anke, 2003. "Resource allocation for control of infectious diseases in multiple independent populations: beyond cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 22(4), pages 575-598, July.
    9. Sabina S Alistar & Douglas K Owens & Margaret L Brandeau, 2014. "Effectiveness and Cost Effectiveness of Oral Pre-Exposure Prophylaxis in a Portfolio of Prevention Programs for Injection Drug Users in Mixed HIV Epidemics," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-11, January.
    10. Wilson, Amy R. & Kahn, James G., 2003. "Preventing HIV in injection drug users: exploring the tradeoffs between interventions," Socio-Economic Planning Sciences, Elsevier, vol. 37(4), pages 269-288, December.
    11. Monali Malvankar-Mehta & Bin Xie, 2012. "Optimal incentives for allocating HIV/AIDS prevention resources among multiple populations," Health Care Management Science, Springer, vol. 15(4), pages 327-338, December.
    12. Lasry, Arielle & Zaric, Gregory S. & Carter, Michael W., 2007. "Multi-level resource allocation for HIV prevention: A model for developing countries," European Journal of Operational Research, Elsevier, vol. 180(2), pages 786-799, July.
    13. Stephanie R. Earnshaw & Anke Richter & Stephen W. Sorensen & Thomas J. Hoerger & Katherine A. Hicks & Michael Engelgau & Ted Thompson & K. M. Venkat Narayan & David F. Williamson & Edward Gregg & Ping, 2002. "Optimal Allocation of Resources across Four Interventions for Type 2 Diabetes," Medical Decision Making, , vol. 22(1_suppl), pages 80-91, September.
    14. Ana P. Johnson-Masotti & Purushottam W. Laud & Raymond G. Hoffmann & Matthew J. Hayat & Steven D. Pinkerton, 2001. "Probabilistic Cost-Effectiveness Analysis of HIV Prevention," Evaluation Review, , vol. 25(4), pages 474-502, August.
    15. Richter, Anke & Hicks, Katherine A. & Earnshaw, Stephanie R. & Honeycutt, Amanda A., 2008. "Allocating HIV prevention resources: A tool for state and local decision making," Health Policy, Elsevier, vol. 87(3), pages 342-349, September.
    16. White, Leroy & Smith, Honora & Currie, Christine, 2011. "OR in developing countries: A review," European Journal of Operational Research, Elsevier, vol. 208(1), pages 1-11, January.
    17. Margaret L. Brandeau, 2016. "Creating impact with operations research in health: making room for practice in academia," Health Care Management Science, Springer, vol. 19(4), pages 305-312, December.
    18. De Boeck, Kim & Decouttere, Catherine & Jónasson, Jónas Oddur & Vandaele, Nico, 2022. "Vaccine supply chains in resource-limited settings: Mitigating the impact of rainy season disruptions," European Journal of Operational Research, Elsevier, vol. 301(1), pages 300-317.
    19. Kristensen, Frederikke Frehr & Sharp, Paul, 2021. "Disease Surveillance, Mortality and Race: The Case of HIV/AIDS in the United States," CAGE Online Working Paper Series 553, Competitive Advantage in the Global Economy (CAGE).
    20. Joseph H. Cook, 2013. "Principles and standards for benefit–cost analysis of public health preparedness and pandemic mitigation programs," Chapters, in: Scott O. Farrow & Richard Zerbe, Jr. (ed.), Principles and Standards for Benefit–Cost Analysis, chapter 3, pages 110-152, Edward Elgar Publishing.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:hcarem:v:10:y:2007:i:3:p:239-252. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.