Cost-effectiveness of preventing loss to follow-up in HIV treatment programs: a Côte d'Ivoire appraisal.
| Autor: | Elena Losina, Hapsatou Touré, Lauren M Uhler, Xavier Anglaret, A David Paltiel, Eric Balestre, Rochelle P Walensky, Eugène Messou, Milton C Weinstein, François Dabis, Kenneth A Freedberg, ART-LINC Collaboration of International Epidemiological Databases to Evaluate AIDS (IeDEA), CEPAC International investigators |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | PLoS Medicine, Vol 6, Iss 10, p e1000173 (2009) |
| Druh dokumentu: | article |
| ISSN: | 1549-1277 1549-1676 |
| DOI: | 10.1371/journal.pmed.1000173 |
| Popis: | Data from HIV treatment programs in resource-limited settings show extensive rates of loss to follow-up (LTFU) ranging from 5% to 40% within 6 mo of antiretroviral therapy (ART) initiation. Our objective was to project the clinical impact and cost-effectiveness of interventions to prevent LTFU from HIV care in West Africa.We used the Cost-Effectiveness of Preventing AIDS Complications (CEPAC) International model to project the clinical benefits and cost-effectiveness of LTFU-prevention programs from a payer perspective. These programs include components such as eliminating ART co-payments, eliminating charges to patients for opportunistic infection-related drugs, improving personnel training, and providing meals and reimbursing for transportation for participants. The efficacies and costs of these interventions were extensively varied in sensitivity analyses. We used World Health Organization criteria of |
| Databáze: | Directory of Open Access Journals |
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