Synthetic Controls for Implementation Science: Opportunities for HIV Program Evaluation Using Routinely Collected Data.

IF 3.7 2区 医学 Q2 INFECTIOUS DISEASES Current HIV/AIDS Reports Pub Date : 2024-06-01 Epub Date: 2024-03-13 DOI:10.1007/s11904-024-00695-z
Sara Wallach, Suzue Saito, Harriet Nuwagaba-Biribonwoha, Lenhle Dube, Matthew R Lamb
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Abstract

Purpose of review: HIV service delivery programs are some of the largest funded public health programs in the world. Timely, efficient evaluation of these programs can be enhanced with methodologies designed to estimate the effects of policy. We propose using the synthetic control method (SCM) as an implementation science tool to evaluate these HIV programs.

Recent findings: SCM, introduced in econometrics, shows increasing utility across fields. Key benefits of this methodology over traditional design-based approaches for evaluation stem from directly approximating pre-intervention trends by weighting of candidate non-intervention units. We demonstrate SCM to evaluate the effectiveness of a public health intervention targeting HIV health facilities with high numbers of recent infections on trends in pre-exposure prophylaxis (PrEP) enrollment. This test case demonstrates SCM's feasibility for effectiveness evaluations of site-level HIV interventions. HIV programs collecting longitudinal, routine service delivery data for many facilities, with only some receiving a time-specified intervention, are well-suited for evaluation using SCM.

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实施科学的合成控制:利用常规收集的数据进行艾滋病项目评估的机会。
审查目的:艾滋病服务项目是世界上资金投入最大的公共卫生项目之一。对这些项目进行及时、高效的评估,可以通过旨在估算政策效果的方法得到加强。我们建议使用合成控制法(SCM)作为实施科学工具来评估这些艾滋病项目:最近的研究结果:SCM 是在计量经济学中引入的,在各个领域的实用性日益增强。与传统的基于设计的评估方法相比,该方法的主要优势在于通过对候选的非干预单位进行加权,直接逼近干预前的趋势。我们将 SCM 用于评估一项公共卫生干预措施的有效性,该干预措施针对的是近期感染人数较多的艾滋病医疗机构,评估的是暴露前预防疗法(PrEP)的注册趋势。该测试案例证明了 SCM 在现场级 HIV 干预有效性评估中的可行性。艾滋病项目收集了许多机构的纵向、常规服务提供数据,其中只有部分机构接受了规定时间的干预措施,因此非常适合使用 SCM 进行评估。
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来源期刊
Current HIV/AIDS Reports
Current HIV/AIDS Reports INFECTIOUS DISEASES-
CiteScore
8.10
自引率
2.20%
发文量
45
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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