Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia
ABSTRACT: 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
Author: Noor Tromp, Adiatma
Siregar, Barnabas Leuwol, Dindin Komarudin, Andre van der Ven, Reinout van
Crevel, Rob Baltussen
Kode Jurnal: jpkedokterangg130249
