| Summary |
Introduction: This study aims to establish the costs and effectiveness of antiretroviral therapy (ART) for HIV positive adults in a resource-constrained public-sector setting. The research compares ART to the current status quo for HIV-positive adults who are dependent on the public sector for care in South Africa i.e the treatment of opportunistic and HIV- elated infections and events (e.g. wasting) in the absence of ART. This research is clearly important in the developing country context, where the HIV epidemic is expected to have a dramatic impact on life expectancy and to lead to early mortality for a large proportion of the population (Dorrington, Bourne et al. 2001). This study presents the first cost-effectiveness results derived from a public sector clinic-based treatment programme. Cost, effectiveness and quality of life data have been collected from a single cohort receiving care in three HIV-dedicated clinics in Khayelitsha, a township on the outskirts of Cape Town. This setting is similar to what will be encountered in the public sector ART rollout. |
| More Details |
Background to this report
This report is the product of research into the cost-effectiveness and cost-utility of
treatment for HIV-positive adults. The research was conducted in three HIVdedicated
clinics in Khayelitsha, a township on the outskirts of Cape Town. The
formal objectives of the research were to:
- Describe the costs of providing antiretroviral treatment (ART) at primary care
clinics
- Describe the costs of providing care for HIV in the absence of ART at primary
care clinics
- Determine the associated health care costs for patients with HIV referred to other
levels of care
- Describe the effectiveness of ART and no-ART (i.e. treatment in the absence of
ART) in terms of life years (LYs) gained and quality adjusted life years gained
(QALYs)
- Describe the cost-effectiveness and cost-utility of ART and no-ART in this setting
- Describe the incremental cost-effectiveness and cost-utility of ART
- Describe the incremental cost-effectiveness of different starting times of ART
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| Keywords |
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