AFR E: Cost effectiveness results for HIV/AIDS
This Table provides summary results of the total population-level costs, effects and cost-effectiveness for the selected WHO sub-region and risk factor / disease for the year 2000.
KEY
I$ - International Dollars
Program Costs include costs of administration, media, training etc
Patient Costs include costs of hospital visits, drugs, etc
Incremental cost-effectiveness ratio (ICER) is defined as the incremental change in cost, divided by the incremental change in effectiveness. ICERs are reported for the successive set of interventions that would be selected at expanding levels of resource availability, starting with the intervention with the lowest cost per DALY averted, then moving to the next most cost-effective combination intervention out of the remaining available set of interventions.
Dominated is used to denote an intervention that is more costly and/or less effective than other, more efficient (single or combined) interventions; i.e. dominated interventions do not appear on the expansion path of most cost-effective strategies.
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Summary
Summary of the methodologies used in the analysis -
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| Interventions:Codes_and_Descriptions | Coverage | Cost per year (I$, millions) per one million_population [i.e. cost per capita] | % Program costs | % Patient costs | DALYs averted per year per one million_population | Average Cost per DALY averted | Incremental Cost per DALY averted |
| HIV-1 : Peer education for sex workers [EDS] (50% coverage) | 50% | 0.12 | 26,555 | 4 | Dominated | ||
| HIV-2 : Peer education for sex workers [EDS] (80% coverage) | 80% | 0.18 | 41,318 | 4 | Dominated | ||
| HIV-3 : Peer education for sex workers [EDS] (95% coverage) | 95% | 0.20 | 48,357 | 4 | Dominated | ||
| HIV-4 : Combination: EDS + provision of treatment for STI (50% coverage) | 50% | 0.12 | 33,476 | 4 | Dominated | ||
| HIV-5 : Combination: EDS + provision of treatment for STI (80% coverage) | 80% | 0.18 | 50,653 | 4 | Dominated | ||
| HIV-6 : Combination: EDS + provision of treatment for STI (95% coverage) | 95% | 0.21 | 58,452 | 4 | Dominated | ||
| HIV-7 : Mass media [MED] (100%) | 100% | 0.05 | 13,140 | 3 | 3 | ||
| HIV-8 : School-based education [SDE] (50% coverage) | 50% | 0.17 | 316 | 530 | Dominated | ||
| HIV-9 : School-based education [SDE] (80% coverage) | 80% | 0.22 | 502 | 444 | Dominated | ||
| HIV-10 : School-based education [SDE] (95% coverage) | 95% | 0.22 | 594 | 376 | Dominated | ||
| HIV-11 : Treatment of sexually-transmitted infections [STI] (current coverage) | 0.12 | 6,529 | 19 | Dominated | |||
| HIV-12 : Treatment of sexually-transmitted infections [STI] (enhanced coverage) | 0.32 | 15,720 | 21 | Dominated | |||
| HIV-13 : Treatment of sexually-transmitted infections [STI] (95 % coverage) | 0.66 | 20,664 | 32 | Dominated | |||
| HIV-14 : Voluntary counseling & testing [VCT] at 95% coverage | 1.18 | 14,414 | 82 | Dominated | |||
| HIV-15 : Prevention of Mother-to-Child-Transmission (PMTCT) | 0.47 | 13,617 | 34 | Dominated | |||
| HIV-16 : Highly Active Anti-Retroviral Therapy (HAART), simple | 3.91 | 7,028 | 556 | Dominated | |||
| HIV-17 : HAART (simple) + Directly Observed Treatment Strategy (DOTS) for TB | 4.36 | 7,316 | 596 | Dominated | |||
| HIV-18 : HAART Plus (interleukin 2) | 18.62 | 9,266 | 2,010 | Dominated | |||
| HIV-19 : HAART Plus + DOTS for TB | 20.10 | 10,169 | 1,977 | Dominated | |||
| HIV-20: Combination: MED + EDS50 | 0.16 | 38,695 | 4 | Dominated | |||
| HIV-21: Combination: MED + EDS80 | 0.22 | 52,834 | 4 | Dominated | |||
| HIV-22: Combination: MED + EDS95 | 0.25 | 59,559 | 4 | Dominated | |||
| HIV-23: Combination: MED + EDS-STI50 | 0.17 | 45,178 | 4 | 4 | |||
| HIV-24: Combination: MED + EDS-STI80 | 0.23 | 61,521 | 4 | 4 | |||
| HIV-25: Combination: MED + EDS-STI95 | 0.26 | 68,932 | 4 | 4 | |||
| HIV-26: Combination: EDS-STI95 + STIcurrent | 0.33 | 60,470 | 5 | Dominated | |||
| HIV-27: Combination: EDS-STI95 + STIenhanced | 0.53 | 63,283 | 8 | Dominated | |||
| HIV-28: Combination: EDS-STI95 + STI95% | 0.86 | 64,787 | 13 | Dominated | |||
| HIV-29: Combination: MED + EDS-STI95 + STIcurrent | 0.38 | 70,754 | 5 | Dominated | |||
| HIV-30: Combination: MED + EDS-STI95 + STIenhanced | 0.57 | 73,296 | 8 | Dominated | |||
| HIV-31: Combination: MED + EDS-STI95 + STI95% | 0.91 | 74,655 | 12 | Dominated | |||
| HIV-32: Combination: MED + EDS-STI95 + STI95% + PMTCT | 1.37 | 84,426 | 16 | Dominated | |||
| HIV-33: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE50 | 1.54 | 84,627 | 18 | Dominated | |||
| HIV-34: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE80 | 1.60 | 84,746 | 19 | Dominated | |||
| HIV-35: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 | 1.60 | 84,805 | 19 | Dominated | |||
| HIV-36: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT | 2.71 | 89,721 | 30 | Dominated | |||
| HIV-37: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTSimpNoDOTS | 6.37 | 96,410 | 66 | 631 | |||
| HIV-38: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTSimpDOTS | 6.80 | 96,784 | 70 | 1,144 | |||
| HIV-39: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTPlusNoDOTS | 20.23 | 98,747 | 205 | Dominated | |||
| HIV-40: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTPlusDOTS | 21.66 | 99,655 | 217 | 5,175 | |||
| HIV-41: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTSimpNoDOTS | 5.28 | 91,559 | 58 | Dominated | |||
| HIV-42: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTSimpDOTS | 5.71 | 91,933 | 62 | Dominated | |||
| HIV-43: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTPlusNoDOTS | 19.21 | 93,924 | 204 | Dominated | |||
| HIV-44: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTPlusDOTS | 20.63 | 94,843 | 218 | Dominated | |||
| HIV-45: Combination: MED + EDS-STI95 +STI95% + PMTCT + HAARTSimpNoDOTS | 5.06 | 91,195 | 55 | Dominated | |||
| HIV-46: Combination: MED + EDS-STI95 + STI95% + PMTCT + HAARTSimpDOTS | 5.49 | 91,569 | 60 | Dominated | |||
| HIV-47: Combination: MED + EDS-STI95 + STI95% + PMTCT + HAARTPlusNoDOTS | 18.99 | 93,563 | 203 | Dominated | |||
| HIV-48: Combination: MED + EDS-STI95 + STI95% + PMTCT + HAARTPlusDOTS | 20.42 | 94,482 | 216 | Dominated | |||
| HIV-49: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTSimpNoDOTS | 6.15 | 96,058 | 64 | 547 | |||
| HIV-50: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTSimpDOTS | 6.58 | 96,432 | 68 | Dominated | |||
| HIV-51: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTPlusNoDOTS | 20.02 | 98,398 | 203 | Dominated | |||
| HIV-52: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTPlusDOTS | 21.44 | 99,307 | 216 | Dominated | |||
| HIV-53: Combination: MED + EDS-STI95 + STI95% HAARTSimpNoDOTS | 4.60 | 81,628 | 56 | Dominated | |||
| HIV-54: Combination: MED + EDS-STI95 + STI95% HAARTSimpDOTS | 5.03 | 82,004 | 61 | Dominated | |||
| HIV-55: Combination: MED + EDS-STI95 + STI95% HAARTPlusNoDOTS | 18.54 | 84,024 | 221 | Dominated | |||
| HIV-56: Combination: MED + EDS-STI95 + STI95% HAARTPlusDOTS | 19.97 | 84,959 | 235 | Dominated | |||
| HIV-57: Combination: MED + EDS-STI95 + PMTCT | 0.72 | 78,978 | 9 | 46 | |||
| HIV-58: Combination: MED + EDS-STI95 + PMTCT + STIcurrent | 0.84 | 80,713 | 10 | 68 | |||
| HIV-59: Combination: MED + EDS-STI95 + PMTCT + STIenhanced | 1.03 | 83,132 | 12 | 80 | |||
| HIV-60: Combination: MED + STIenhanced | 0.37 | 27,839 | 13 | Dominated | |||
| HIV-61: Combination: MED + STI95% | 0.71 | 32,429 | 22 | Dominated | |||
| HIV-62: Combination: MED + STIcurrent | 0.17 | 19,264 | 9 | Dominated | |||
| HIV-63: Combination: MED + EDS-STI95 + PMTCT + STI95% | 1.37 | 84,426 | 16 | Dominated | |||
| HIV-64: Combination: MED + EDS-STI95 + PMTCT + STI95% + VCT | 2.49 | 89,354 | 28 | 290 | |||
| HIV-65: Combination: MED + EDS-STI95 + VCT | 1.38 | 74,716 | 18 | Dominated | |||
| HIV-66: Combination: MED + EDS-STI95 + VCT + STIcurrent | 1.49 | 76,353 | 20 | Dominated | |||
| HIV-67: Combination: MED + EDS-STI95 + VCT + STIenhanced | 1.68 | 78,638 | 21 | Dominated | |||
| HIV-68: Combination: MED + EDS-STI95 + VCT + STI-95% | 2.02 | 79,861 | 25 | Dominated | |||
| HIV-69: Combination: MED + EDS-STI95 + VCT + STIcurrent + PMTCT | 1.96 | 86,010 | 23 | Dominated | |||
| HIV-70: Combination: MED + EDS-STI95 + VCT + STIenhanced + PMTCT | 2.15 | 88,188 | 24 | 220 | |||
| HIV-71: Combination: MED + EDS-STI95 + VCT + PMTCT | 1.84 | 84,450 | 22 | Dominated | |||
| HIV-72: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTSimpNoDOTS | 5.69 | 86,766 | 66 | Dominated | |||
| HIV-73: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTSimpDOTS | 6.12 | 87,141 | 70 | Dominated | |||
| HIV-74: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTPlusNoDOTS | 19.57 | 89,132 | 220 | Dominated | |||
| HIV-75: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTPlusDOTS | 21.00 | 90,056 | 233 | Dominated | |||
| HIV-76: Combination: MED + EDS-STI95 + SBE95 | 0.48 | 69,360 | 7 | Dominated | |||
| HIV-77: Combination: MED + EDS-STI95 + STIcurrent + SBE95 | 0.60 | 71,172 | 8 | Dominated | |||
| HIV-78: Combination: MED + EDS-STI95 + STIenhanced + SBE95 | 0.79 | 73,700 | 11 | Dominated | |||
| HIV-79: Combination: MED + EDS-STI95 + STI95 + SBE95 | 1.13 | 75,052 | 15 | Dominated | |||
| HIV-80: Combination: MED + EDS-STI95 + STIcurrent + SBE95 + VCT | 1.72 | 76,757 | 22 | Dominated | |||
| HIV-81: Combination: MED + EDS-STI95 + STIenhanced + SBE95 + VCT | 1.91 | 79,029 | 24 | Dominated | |||
| HIV-82: Combination: MED + EDS-STI95 + STI95 + SBE95 + VCT | 2.25 | 80,245 | 28 | Dominated | |||
| HIV-83: Combination: MED + EDS-STI95 + STIcurrent + SBE95 + PMTCT | 1.06 | 81,112 | 13 | Dominated | |||
| HIV-84: Combination: MED + EDS-STI95 + STIenhanced + SBE95 + PMTCT | 1.26 | 83,518 | 15 | Dominated | |||
| HIV-85: Combination: MED + EDS-STI95 + STI95 + SBE95 + PMTCT | 1.60 | 84,805 | 19 | Dominated | |||
| HIV-86: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS | 5.51 | 91,158 | 60 | Dominated | |||
| HIV-87: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STIcurrent | 5.63 | 92,717 | 61 | Dominated | |||
| HIV-88: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STIenhanced | 5.81 | 94,894 | 61 | Dominated | |||
| HIV-89: Combination: MED + EDS-STI95 + STIenhanced + SBE95 + VCT + PMTCT | 2.37 | 88,561 | 27 | Dominated | |||
| HIV-90: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STI95 | 6.15 | 96,058 | 64 | Dominated | |||
| HIV-91: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STIenhanced + SBE95 | 6.04 | 95,252 | 63 | Dominated |