Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia
Aim: to evaluate the costs-effectiveness of scaling up community-based VCT in West-Java. Methods: the Asian epidemic model (AEM) and resource needs model (RNM) were used to calculate incremental costs per HIV infection averted and per disability-adjusted life years saved (DALYs). Locally monitored...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Interna Publishing
2016-05-01
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| Series: | Acta Medica Indonesiana |
| Online Access: | https://actamedindones.org/index.php/ijim/article/view/116 |
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| _version_ | 1849713702310248448 |
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| author | Noor Tromp Adiatma Siregar Barnabas Leuwol Dindin Komarudin Andre van der Ven Reinout van Crevel4 Rob Baltussen |
| author_facet | Noor Tromp Adiatma Siregar Barnabas Leuwol Dindin Komarudin Andre van der Ven Reinout van Crevel4 Rob Baltussen |
| author_sort | Noor Tromp |
| collection | DOAJ |
| description |
Aim: to evaluate the costs-effectiveness of scaling up community-based VCT in West-Java. Methods: the Asian epidemic model (AEM) and resource needs model (RNM) were used to calculate incremental costs per HIV infection averted and per disability-adjusted life years saved (DALYs). Locally monitored demographic, epidemiological behavior and cost data were used as model input. Results: scaling up community-based VCT in West-Java will reduce the overall population prevalence by 36% in 2030 and costs US$248 per HIV infection averted and US$9.17 per DALY saved. Cost-effectiveness estimation were most sensitive to the impact of VCT on condom use and to the population size of clients of female sex workers (FSWs), but were overall robust. The total costs for scaling up community-based VCT range between US$1.3 and 3.8 million per year and require the number of VCT integrated clinics at public community health centers to increase from 73 in 2010 to 594 in 2030. Conclusion: scaling up community-based VCT seems both an effective and cost-effective intervention. However, in order to prioritize VCT in HIV/AIDS control in West-Java, issues of budget availability and organizational capacity should be addressed.
Key words: HIV infections, voluntary counselling and testing, cost-effectiveness analysis, decision maker.
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| format | Article |
| id | doaj-art-85b7285c3d9c4ae8bc57bc3d5021dccc |
| institution | DOAJ |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2016-05-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-85b7285c3d9c4ae8bc57bc3d5021dccc2025-08-20T03:13:54ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322016-05-01451Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, IndonesiaNoor Tromp0Adiatma Siregar1Barnabas Leuwol2Dindin Komarudin3Andre van der Ven4Reinout van Crevel45Rob Baltussen6Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, NICHE (Nijmegen International Center for Health Systems Research and Education). The NetherlandsDepartment of Economics, Faculty of Economics and Business, University of Padjadjaran, BanMedical Research Unit (UPK), Faculty of Medicine, University of Padjadjaran, Bandung, IndonesiaMedical Research Unit (UPK), Faculty of Medicine, University of Padjadjaran, Bandung, IndonesiaDepartment of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The NetherlandsDepartment of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The NetherlandsDepartment of Primary and Community Care, Radboud University Nijmegen Medical Centre, NICHE (Nijmegen International Center for Health Systems Research and Education). The Netherlands Aim: to evaluate the costs-effectiveness of scaling up community-based VCT in West-Java. Methods: the Asian epidemic model (AEM) and resource needs model (RNM) were used to calculate incremental costs per HIV infection averted and per disability-adjusted life years saved (DALYs). Locally monitored demographic, epidemiological behavior and cost data were used as model input. Results: scaling up community-based VCT in West-Java will reduce the overall population prevalence by 36% in 2030 and costs US$248 per HIV infection averted and US$9.17 per DALY saved. Cost-effectiveness estimation were most sensitive to the impact of VCT on condom use and to the population size of clients of female sex workers (FSWs), but were overall robust. The total costs for scaling up community-based VCT range between US$1.3 and 3.8 million per year and require the number of VCT integrated clinics at public community health centers to increase from 73 in 2010 to 594 in 2030. Conclusion: scaling up community-based VCT seems both an effective and cost-effective intervention. However, in order to prioritize VCT in HIV/AIDS control in West-Java, issues of budget availability and organizational capacity should be addressed. Key words: HIV infections, voluntary counselling and testing, cost-effectiveness analysis, decision maker. https://actamedindones.org/index.php/ijim/article/view/116 |
| spellingShingle | Noor Tromp Adiatma Siregar Barnabas Leuwol Dindin Komarudin Andre van der Ven Reinout van Crevel4 Rob Baltussen Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia Acta Medica Indonesiana |
| title | Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia |
| title_full | Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia |
| title_fullStr | Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia |
| title_full_unstemmed | Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia |
| title_short | Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia |
| title_sort | cost effectiveness of scaling up voluntary counselling and testing in west java indonesia |
| url | https://actamedindones.org/index.php/ijim/article/view/116 |
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