The objective of this work is to maximize the dissemination of costing work by the foundation including ORPHEA (Optimizing the Response in Prevention: HIV Efficiency in Africa), a five country study of prevention costs in Africa. In order to enhance the visibility of the evidence on HIV costs supported by the Foundation including ORPHEA, ABCE (Access, Bottlenecks, Costs, and Equity) by the Institute for Health Metrics and Evaluation, and MATCH (Multi-country analysis of treatment costs of HIV/AIDS) conducted by Clinton HIV/AID Initiative, we will coordinate the publication of a special issue in a high-impact, open access journal focused on costs and efficiency of HIV services.

Secondly, in addition to analyses currently being concluded as part of the ORPHEA project, we will produce additional analyses applying econometric approaches to the costs and production of HIV prevention services in 5 countries in Africa. We will focus on prevention of mother-to-child transmission (PMTCT) and HIV testing and counseling (HTC) to address the following three topics: (1) To analyze the effects of quality, scale and efficiency on the observed cost of HTC and PMTCT services; (2) to generate aggregate estimates of national costs of HTC and PMTCT services in 5 African countries using sample-derived estimations; (3) to explore several policy scenarios of scaling-up policies of HTC and PMTCT services according to the UNAIDS fast track policy from 2015 through 2030.