STRIVE researchers compare three approaches for deciding whether to finance a structural intervention to keep adolescent girls in school in Malawi.
In addition, the paper explores approaches for determining the HIV share in the cofinancing scenarios.
The authors find that efficient structural interventions may be less likely to be prioritized, financed and taken to scale where sectors evaluate their options in isolation. A cofinancing approach minimizes welfare loss and could be incorporated in a sector budgeting perspective.
They conclude that cofinancing provides an opportunity for multiple HIV, health and development objectives to be achieved simultaneously, but will require effective crosssectoral coordination mechanisms for planning, implementation and financing.
In her editorial to this issue of AIDS, Eileen Stillwaggon refers to these findings. Unfortunately, neither the paper nor the editorial are open access.