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Table 3 Base-case results of HCT costs and cost-effectiveness comparisons between PICT & VCT and HBT & VCT

From: Costs and cost-effectiveness of HIV counselling and testing modalities in Southern Mozambique

 

VCT

PICT

HBT

HCT costs

 Average cost per testa, US$

7.79

7.14

11.07

 Expected proportion of HIV+ individuals linked to care among those tested

0.0269

0.0588

0.0172

 Cost per HIV+ individual linked to care, US$

289.67

121.46

643.37

Cost-effectiveness comparisons

 Effect–Expected proportion of HIV+ individuals linked to care among those enrolled only

0.621

0.466

0.238

 Incremental cost, US$

–

−0.65

3.28

 Incremental effect

–

−0.155

−0.383

 ICER

–

4.15

−8.57 (Dominated)b

  1. All costs are reported to 2 decimal places. All other figures are reported to 3 significant figures
  2. aAssume cost per person tested positive is equivalent to cost per test
  3. bA dominated scenario occurs when the comparator, in this case VCT, is less costly but more effective than HBT. HBT is said to be dominated by VCT
  4. PICT provider-initiated counselling and testing, HBT home-based testing, VCT voluntary counselling and testing, ICER incremental cost-effectiveness ratio