Bulletin of the World Health Organization

Evaluating the cost-effectiveness of combination antiretroviral therapy for the prevention of mother-to-child transmission of HIV in Uganda

Andreas Kuznik, Mohammed Lamorde, Sabine Hermans, Barbara Castelnuovo, Brandon Auerbach, Aggrey Semeere, Joseph Sempa, Mark Ssennono, Fred Ssewankambo & Yukari C Manabe

Volume 90, Number 8, August 2012, 595-603

Table 2. Results from four models used to evaluate the incremental cost-effectiveness of combination antiretroviral therapy (ART) in Uganda relative to other treatment regimens or none, 2011

Variable Model
1a: 18-month ART, relative to
1b: lifetime ART, relative to
2a: 18-month ART, relative to NT 2b: lifetime ART, relative to NT
sdNVP DT sdNVP DT
Cost difference per patient (US$) 482 467 4817 4747 689 6883
Cost offset per patient (US$) 240 148 884 547 395 1455
Incremental cost per patient (US$)a 242 318 3933 4200 294 5428
DALYs averted per patient 5.21 3.22 19.20 11.87 8.58 31.60
Incremental cost per DALY averted (US$) 46 99 205 354 34 172

DALY, disability-adjusted life year; DT, dual therapy; NT, no treatment; sdNVP, single-dose nevirapine; US$, United States dollar.

a Calculated by subtracting the cost offset from the cost difference.