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Table 2 HIV/AIDS program cost per DALY saved as reported in the literature (US$ 2004)

From: S4HARA: System for HIV/AIDS resource allocation

HIV/AIDS cost-effectiveness studies

HIV/AIDS program

Hogan (2005)

Creese (2002)

Badri (2006)

Marseille (2002)

Average cost per DALY saved

VCT

$89.97

$21.16

-

-

$55.56

PMTCT

$37.30

$7.72

-

-

$22.51

Treatment of STIs

$20.85

$13.49

-

-

$17.17

ART

-

-

$01

$370.20

$185.10

Wellness

-

$6.48

-

-

$6.48

Condom distribution2

-

-

-

-

$4.60

  1. 1 We used a value of zero because Badri et al. (2006) report that ART is cost-saving relative to a "no intervention" comparator (no-ART). According to this study, the yearly cost per person of a patient on ART is $1513 while is it $3520 for no-ART due to increased medical costs associated with the treatment of opportunistic infections. Further, the number of survival days is 1120 for a patient on ART and 510 days when a patient is not on ART. The resulting incremental cost-effectiveness ratio is negative indicating that ART is both less expensive and more effective than no-ART.
  2. 2 The cost per DALY saved for the condom distribution program is calculated by translating an averted infection into DALYs gained.
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Cost Effectiveness and Resource Allocation

ISSN: 1478-7547

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