Costing tools
Spectrum, PMTCT module
Futures Institute
Designed to answer a number of "what if" questions, this tool evaluates costs and benefits of intervention programs to reduce transmission of HIV from mother to child. Three different sets of interventions are included in the module: drug treatment (seven options), type of delivery, and type of infant feeding (formula, breastfeeding or mixed). Each treatment option requires data on costs of interventions, as well as user fee costs if these apply. The vertical transmission rate is set as a program default, varying according to treatment, mode of delivery and infant feeding option. Outputs include benefit-cost ratios (total costs savings divided by total costs of the intervention) as well as cost-effectiveness measures such as cost per HIV infection averted, and cost of death averted.
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Summary of main features
| Purpose | To estimate the benefits and costs of different approaches to implementing PMTCT programs |
| Health MDGs addressed | 6 (HIV/AIDS) |
| Scope of interventions | PMTCT |
| Type of software | Custom software, module in Spectrum |
| User manual available | Yes |
| Potential users | planners and economists in HIV |
| Skills required | Knowledge of PMTCT programs |
| Type and length of training required | One day |
| Costing strategy and methods | costs by component (drugs, testing, counseling, service delivery) |
| Level of aggregation: | National or provincial/state |
| Program/system costs included | Yes |
| Time-frame | Short-term |
| Modeling of intervention impact or interactions on epidemiology or demography | Yes |
| Output | Infections averted and cost per infection averted |
| Automatic generation of reports | Tables yes, reports no. |
| Country applications | Panama, Honduras, Dominican Republic |