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State of World Population 2012 - UNFPA Haiti

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therapy as an inexpensive preventive intervention(Granich et al., <strong>2012</strong>).The study finds that without engaging andsupporting the community, the programme willbe unlikely to achieve its goals. This model supportsthe importance <strong>of</strong> ensuring “communityengagement in the planning and implementation<strong>of</strong> the programme so that there is no coercionto be HIV tested or take antiretroviral therapies,and that there is adequate support for individualswith questions and concerns. Contrary tomany other similar studies, we included thecost <strong>of</strong> ensuring many components <strong>of</strong> a stronghuman rights framework” (Granich, <strong>2012</strong>).The total cost <strong>of</strong> including these human rightscomponents in the programme overall is 1.4per cent, a small investment in the long-termsuccess <strong>of</strong> the programme and its contribution tothe achievement <strong>of</strong> rights.ConclusionRecent estimates <strong>of</strong> unmet need indicate thesignificant levels <strong>of</strong> investment necessary touphold the right <strong>of</strong> the world’s people to familyplanning. High levels <strong>of</strong> unmet need for familyplanning will be increased in the coming yearsby the large generation <strong>of</strong> young people enteringtheir reproductive years. Family planning hasbeen shown to be one <strong>of</strong> the most cost-effectivepublic health interventions ever developed. Thusany decision regarding how to invest in familyplanning must counterpose its costs againstthe range <strong>of</strong> benefits it brings to individuals,households and nations.Average costs Associated with treatment for hiv by category withbreakdown <strong>of</strong> human rights and community-support component(Costs shown in US$)Care$2 billion66%Human rights$37 million1.4%Transport $9.1 million, 23%Adherence $12.9 million, 32%Monitoring and evaluation $1.6 million, 4%Supervision $2.1 million, 5%Training $9.7 million, 24%Education $4.6, 11%Outreach$255 million8%Nutrition$45 million1.5%Antiretroviral Therapy$694 million23%Source: Granich et al, <strong>2012</strong>THE STATE OF WORLD POPULATION <strong>2012</strong>95

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