The Efficiency and Effectiveness Initiative at the Bill and Melinda Gates Foundation

  • Stefano Bertozzi, MD, PhD
    Professor and Dean, School of Public Health at UC Berkeley

Summary

Presentation from UCSF-GIVI CFAR's 14th Annual Research Symposium, Implementation Sciences and the Global response to HIV AIDS: Bringing Research to Reality - Locally, Nationally, Internationally, held Friday, October 25, 2013.

Stefano Bertozzi: The Efficiency and Effectiveness Initiative...

Presentation Slides

  • Moving Efficiency and Effectiveness to the Frontline
  • What is IS?
  • Key takeaway
  • Figure 2. Hotspot Map
  • Figure 4. Exampe of PE Diary
  • 6,000 coyotes killed in Utah's bounty program
  • You mean you're not circumcised!
  • Recent advances in measuring efficiency and effectiveness
  • New data provide a more accurate picture of the cost of HIV treatment
  • New data provide a more accurate picture of the cost of HIV treatment (2)
  • Better data enables understanding of the drivers of cost reduction
  • New research enables improved understanding of retention
  • However more needs to be done...
  • There are still ~ 2.5 million new cases annually
  • New formula and other approach
  • Moving from research to performance management
  • In other areas, real-time data has improved service delivery at low cost
  • Promising beginnings
  • PEPFAR expenditure analysis provides actionable data to managers
  • Facility-level costs of ART in Rwanda*
  • Supra-facility costs of ART in Rwanda*
  • Voluntary medical male circumcision: countries' progress towards 2015 targets, by December 2012
  • Annual number of voluntary medical male circumcisions, selected countries, 2009-2012
  • Avahan results: Effective MIS systems in low-resource seetings
  • The ideal?
  • The ideal?
  • The ideal?
  • Stronger relationships are needed
  • Stronger relationships are needed
  • Stronger relationships are needed
  • The work is completed. Why we do it is not.