Abstract
BackgroundIn response to an article published in 2012 by officials at the US Department of Health and Human Services (DHHS), an independent analysis of state-based federal resource allocation for HIV was conducted to determine if the funding accurately reflected diagnosis and prevalence rates.MethodsTotal state-based federal funding for HIV, state-based funding for HIV prevention, and state-based funding for HIV treatment were compared to state-based HIV diagnosis and prevalence rates from 2006-2009.ResultsTotal state-based federal funding for HIV and funding for HIV prevention and treatment were highly correlated with HIV diagnosis and prevalence rates during the time horizon of the study; however, correlations between state-based HIV prevention funding and state-based HIV diagnosis rates were lower than the correlations between state-based HIV treatment funding and HIV prevalence.ConclusionsOur findings suggest that state-based federal resource allocation for HIV prevention and treatment may be better aligned with HIV diagnosis and prevalence rates than previously reported; however resource allocation for HIV prevention is less aligned than funding for HIV treatment signaling the need to reexamine state-based federal funding for HIV prevention.
Highlights
In response to an article published in 2012 by officials at the US Department of Health and Human Services (DHHS), an independent analysis of state-based federal resource allocation for Human immunodeficiency virus (HIV) was conducted to determine if the funding accurately reflected diagnosis and prevalence rates
Between $276 and $314 million were categorized as prevention and between $1.44 and $1.59 billion were categorized as treatment, which represent approximately 84% of the total state-based federal funding for HIV used in the analysis
In our sub-analysis, we found interesting differences in the correlations between funding for HIV prevention and treatment and HIV diagnosis and prevalence rates
Summary
In response to an article published in 2012 by officials at the US Department of Health and Human Services (DHHS), an independent analysis of state-based federal resource allocation for HIV was conducted to determine if the funding accurately reflected diagnosis and prevalence rates. In 2012, officials (Mansergh and colleagues) at the US Department of Health and Human Services (DHHS) published an article [2] comparing total state-based federal. Statebased HIV funding data from 2012 were correlated with epidemiologic data from 2008 While this time difference may reflect what was the most up-to-date information at the time of analysis and how actual funding decisions are made (delayed epidemiologic reporting at the time of grant submission and awarding), it does not reflect the association between the actual epidemiologic profile at the time the funding as provided to address it. The analysis was based on comparisons made at one point in time, which can be biased by anomalous events that occurred during that time period
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