Cost effectiveness and strategic planning (WHO-CHOICE)

SEAR D: 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.


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% 0.06 19,780 3 Dominated
HIV-2 : Peer education for sex workers [EDS] (80% coverage) 80% 0.09 29,074 3 Dominated
HIV-3 : Peer education for sex workers [EDS] (95% coverage) 95% 0.11 32,938 3 Dominated
HIV-4 : Combination: EDS + provision of treatment for STI (50% coverage) 50% 0.07 24,097 3 3
HIV-5 : Combination: EDS + provision of treatment for STI (80% coverage) 80% 0.10 33,860 3 3
HIV-6 : Combination: EDS + provision of treatment for STI (95% coverage) 95% 0.11 37,514 3 3
HIV-7 : Mass media [MED] (100%) 100% 0.03 1,475 18 Dominated
HIV-8 : School-based education [SDE] (50% coverage) 50% 0.14 177 790 Dominated
HIV-9 : School-based education [SDE] (80% coverage) 80% 0.14 279 506 Dominated
HIV-10 : School-based education [SDE] (95% coverage) 95% 0.14 328 432 Dominated
HIV-11 : Treatment of sexually-transmitted infections [STI] (current coverage) 0.14 4,503 32 Dominated
HIV-12 : Treatment of sexually-transmitted infections [STI] (enhanced coverage) 0.24 8,764 27 Dominated
HIV-13 : Treatment of sexually-transmitted infections [STI] (95 % coverage) 0.29 14,234 20 Dominated
HIV-14 : Voluntary counseling & testing [VCT] at 95% coverage 0.17 4,209 40 Dominated
HIV-15 : Prevention of Mother-to-Child-Transmission (PMTCT) 0.22 696 310 Dominated
HIV-16 : Highly Active Anti-Retroviral Therapy (HAART), simple 0.44 817 542 Dominated
HIV-17 : HAART (simple) + Directly Observed Treatment Strategy (DOTS) for TB 0.47 831 570 Dominated
HIV-18 : HAART Plus (interleukin 2) 1.35 1,020 1,319 Dominated
HIV-19 : HAART Plus + DOTS for TB 1.43 1,116 1,280 Dominated
HIV-20: Combination: MED + EDS50 0.09 20,782 4 Dominated
HIV-21: Combination: MED + EDS80 0.12 29,841 4 Dominated
HIV-22: Combination: MED + EDS95 0.13 33,604 4 Dominated
HIV-23: Combination: MED + EDS-STI50 0.09 24,986 4 Dominated
HIV-24: Combination: MED + EDS-STI80 0.12 34,490 4 Dominated
HIV-25: Combination: MED + EDS-STI95 0.14 38,045 4 51
HIV-26: Combination: EDS-STI95 + STIcurrent 0.25 38,209 7 Dominated
HIV-27: Combination: EDS-STI95 + STIenhanced 0.34 38,844 9 Dominated
HIV-28: Combination: EDS-STI95 + STI95% 0.39 39,636 10 Dominated
HIV-29: Combination: MED + EDS-STI95 + STIcurrent 0.28 38,711 7 Dominated
HIV-30: Combination: MED + EDS-STI95 + STIenhanced 0.37 39,321 9 Dominated
HIV-31: Combination: MED + EDS-STI95 + STI95% 0.41 40,082 10 133
HIV-32: Combination: MED + EDS-STI95 + STI95% + PMTCT 0.63 40,344 16 Dominated
HIV-33: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE50 0.77 40,380 19 Dominated
HIV-34: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE80 0.77 40,401 19 Dominated
HIV-35: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 0.77 40,412 19 Dominated
HIV-36: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT 0.92 40,868 22 Dominated
HIV-37: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTSimpNoDOTS 1.28 41,346 31 Dominated
HIV-38: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTSimpDOTS 1.30 41,363 32 2,192
HIV-39: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTPlusNoDOTS 1.93 41,462 47 Dominated
HIV-40: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + VCT + HAARTPlusDOTS 2.00 41,520 48 4,406
HIV-41: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTSimpNoDOTS 1.14 40,896 28 Dominated
HIV-42: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTSimpDOTS 1.16 40,913 28 Dominated
HIV-43: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTPlusNoDOTS 1.79 41,014 44 Dominated
HIV-44: Combination: MED + EDS-STI95 + STI95% + PMTCT + SBE95 + HAARTPlusDOTS 1.86 41,073 45 Dominated
HIV-45: Combination: MED + EDS-STI95 +STI95% + PMTCT + HAARTSimpNoDOTS 1.00 40,830 24 Dominated
HIV-46: Combination: MED + EDS-STI95 + STI95% + PMTCT + HAARTSimpDOTS 1.02 40,846 25 Dominated
HIV-47: Combination: MED + EDS-STI95 + STI95% + PMTCT + HAARTPlusNoDOTS 1.65 40,948 40 Dominated
HIV-48: Combination: MED + EDS-STI95 + STI95% + PMTCT + HAARTPlusDOTS 1.71 41,007 42 Dominated
HIV-49: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTSimpNoDOTS 1.14 41,281 28 850
HIV-50: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTSimpDOTS 1.16 41,298 28 1,295
HIV-51: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTPlusNoDOTS 1.79 41,398 43 Dominated
HIV-52: Combination: MED + EDS-STI95 + STI95% + PMTCT + VCT + HAARTPlusDOTS 1.86 41,456 45 Dominated
HIV-53: Combination: MED + EDS-STI95 + STI95%  HAARTSimpNoDOTS 0.78 40,572 19 Dominated
HIV-54: Combination: MED + EDS-STI95 + STI95%  HAARTSimpDOTS 0.80 40,589 20 Dominated
HIV-55: Combination: MED + EDS-STI95 + STI95%  HAARTPlusNoDOTS 1.43 40,691 35 Dominated
HIV-56: Combination: MED + EDS-STI95 + STI95%  HAARTPlusDOTS 1.50 40,750 37 Dominated
HIV-57: Combination: MED + EDS-STI95 + PMTCT 0.36 38,326 9 Dominated
HIV-58: Combination: MED + EDS-STI95 + PMTCT + STIcurrent 0.49 38,986 13 Dominated
HIV-59: Combination: MED + EDS-STI95 + PMTCT + STIenhanced 0.58 39,590 15 Dominated
HIV-60: Combination: MED + STIenhanced 0.27 9,988 27 Dominated
HIV-61: Combination: MED + STI95% 0.31 15,297 20 Dominated
HIV-62: Combination: MED + STIcurrent 0.17 5,849 29 Dominated
HIV-63: Combination: MED + EDS-STI95 + PMTCT + STI95% 0.63 40,344 16 Dominated
HIV-64: Combination: MED + EDS-STI95 + PMTCT + STI95% + VCT 0.77 40,802 19 Dominated
HIV-65: Combination: MED + EDS-STI95 + VCT 0.29 38,636 7 Dominated
HIV-66: Combination: MED + EDS-STI95 + VCT + STIcurrent 0.42 39,259 11 Dominated
HIV-67: Combination: MED + EDS-STI95 + VCT + STIenhanced 0.51 39,830 13 Dominated
HIV-68: Combination: MED + EDS-STI95 + VCT + STI-95% 0.56 40,544 14 317
HIV-69: Combination: MED + EDS-STI95 + VCT + STIcurrent + PMTCT 0.64 39,529 16 Dominated
HIV-70: Combination: MED + EDS-STI95 + VCT + STIenhanced + PMTCT 0.73 40,094 18 Dominated
HIV-71: Combination: MED + EDS-STI95 + VCT + PMTCT 0.50 38,911 13 Dominated
HIV-72: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTSimpNoDOTS 0.93 41,028 23 760
HIV-73: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTSimpDOTS 0.95 41,045 23 Dominated
HIV-74: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTPlusNoDOTS 1.57 41,145 38 Dominated
HIV-75: Combination: MED + EDS-STI95 + STI95% + VCT + HAARTPlusDOTS 1.64 41,203 40 Dominated
HIV-76: Combination: MED + EDS-STI95 + SBE95 0.28 38,141 7 Dominated
HIV-77: Combination: MED + EDS-STI95 + STIcurrent + SBE95 0.42 38,797 11 Dominated
HIV-78: Combination: MED + EDS-STI95 + STIenhanced + SBE95 0.51 39,399 13 Dominated
HIV-79: Combination: MED + EDS-STI95 + STI95 + SBE95 0.55 40,151 14 Dominated
HIV-80: Combination: MED + EDS-STI95 + STIcurrent + SBE95 + VCT 0.57 39,343 14 Dominated
HIV-81: Combination: MED + EDS-STI95 + STIenhanced + SBE95 + VCT 0.66 39,906 16 Dominated
HIV-82: Combination: MED + EDS-STI95 + STI95 + SBE95 + VCT 0.70 40,612 17 Dominated
HIV-83: Combination: MED + EDS-STI95 + STIcurrent + SBE95 + PMTCT 0.63 39,071 16 Dominated
HIV-84: Combination: MED + EDS-STI95 + STIenhanced + SBE95 + PMTCT 0.73 39,667 18 Dominated
HIV-85: Combination: MED + EDS-STI95 + STI95 + SBE95 + PMTCT 0.77 40,412 19 Dominated
HIV-86: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS 0.87 39,404 22 Dominated
HIV-87: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STIcurrent 1.01 40,017 25 Dominated
HIV-88: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STIenhanced 1.10 40,579 27 Dominated
HIV-89: Combination: MED + EDS-STI95 + STIenhanced + SBE95 + VCT + PMTCT 0.87 40,169 22 Dominated
HIV-90: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STI95 1.14 41,281 28 Dominated
HIV-91: Combination: MED + EDS-STI95 + PMTCT + VCT + HAARTSimpNoDOTS + STIenhanced + SBE95 1.24 40,652 31 Dominated
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