Ojo K, Delaney M
World Health Organization, Windhoek, Namibia.
Int J Health Plann Manage. 1997 Oct-Dec;12(4):315-26. doi: 10.1002/(SICI)1099-1751(199710/12)12:4<315::AID-HPM492>3.0.CO;2-A.
Recent announcements by the Government of Namibia to provide financial support to people living with AIDS (and their family members) have received considerable media attention. However, given the fact that government budgets are already stretched, and the need for resources to devote the prevention efforts remains, there is an urgent need to assign some values to the support the government is considering within the context of an explosive epidemic. It is against this background that this study attempts to provide a rapid assessment of the economic costs of HIV/AIDS in Namibia over the next 5 years of the First National Development Plan. The estimates include the direct and indirect costs. The direct costs are costs to the economy for inpatient and outpatient medical services, as well as the costs of support payments to people living with AIDS, their families and children orphaned by AIDS. Government and donor expenditure on national prevention and control efforts are also included. The study concludes that no sector of the Namibian economy will escape the impact of AIDS. The epidemic will definitely tax hospital, public health, private and community resources, and these substantial burdens underscore the need for coordinated long-term planning.
纳米比亚政府近期宣布为艾滋病患者（及其家庭成员）提供财政支持，这一消息受到了媒体的广泛关注。然而，鉴于政府预算已经捉襟见肘，且仍需资源用于预防工作，在疫情呈爆发态势的背景下，迫切需要对政府正在考虑的支持措施进行价值评估。正是在这样的背景下，本研究试图对纳米比亚在第一个国家发展计划的未来5年中艾滋病毒/艾滋病的经济成本进行快速评估。这些估算包括直接成本和间接成本。直接成本是指经济领域用于住院和门诊医疗服务的成本，以及向艾滋病患者、其家庭和因艾滋病成为孤儿的儿童提供支持款项的成本。政府和捐助方在国家预防和控制工作上的支出也包括在内。该研究得出结论，纳米比亚经济的任何部门都无法逃脱艾滋病的影响。这种流行病肯定会使医院、公共卫生、私人和社区资源承受重负，而这些沉重负担凸显了进行协调一致的长期规划的必要性。
