IDEAS home Printed from https://ideas.repec.org/a/spr/aphecp/v7y2009i4p229-243.html
   My bibliography  Save this article

The cost effectiveness of home-based provision of antiretroviral therapy in rural Uganda

Author

Listed:
  • Elliot Marseille
  • James Kahn
  • Christian Pitter
  • Rebecca Bunnell
  • William Epalatai
  • Emmanuel Jawe
  • Willy Were
  • Jonathan Mermin

Abstract

This study suggests that a home-based HAART programme in rural Africa may be more cost effective than most previous estimates for facility-based HAART programmes, but remains less cost effective than many HIV prevention and care interventions, including cotrimoxazole prophylaxis. Copyright Adis Data Information BV 2009

Suggested Citation

  • Elliot Marseille & James Kahn & Christian Pitter & Rebecca Bunnell & William Epalatai & Emmanuel Jawe & Willy Were & Jonathan Mermin, 2009. "The cost effectiveness of home-based provision of antiretroviral therapy in rural Uganda," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 229-243, December.
    • Handle: RePEc:spr:aphecp:v:7:y:2009:i:4:p:229-243
    DOI: 10.1007/BF03256157
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/BF03256157
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/BF03256157?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Motasim Badri & Gary Maartens & Sundhiya Mandalia & Linda-Gail Bekker & John R Penrod & Robert W Platt & Robin Wood & Eduard J Beck, 2005. "Cost-Effectiveness of Highly Active Antiretroviral Therapy in South Africa," PLOS Medicine, Public Library of Science, vol. 3(1), pages 1-1, December.
    2. Katz, M.H. & Schwarcz, S.K. & Kellogg, T.A. & Klausner, J.D. & Dilley, J.W. & Gibson, S. & McFarland, W., 2002. "Impact of highly active antiretroviral treatment on HIV seroincidence among men who have sex with men: San Francisco," American Journal of Public Health, American Public Health Association, vol. 92(3), pages 388-394.
    3. James G Kahn & Elliot Marseille & Bertran Auvert, 2006. "Cost-Effectiveness of Male Circumcision for HIV Prevention in a South African Setting," PLOS Medicine, Public Library of Science, vol. 3(12), pages 1-10, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sara Balestri, 2020. "Inside the Policy Process: Using Textual Analysis to Measure People-Centered Approach in Tuberculosis Policy-Making," Rivista Internazionale di Scienze Sociali, Vita e Pensiero, Pubblicazioni dell'Universita' Cattolica del Sacro Cuore, vol. 128(2), pages 147-172.
    2. Steffen Flessa, 2009. "Cost effectiveness of antiretrovirals — long term or short term?," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 225-227, December.
    3. James G Kahn & Nicholas Muraguri & Brian Harris & Eric Lugada & Thomas Clasen & Mark Grabowsky & Jonathan Mermin & Shahnaaz Shariff, 2012. "Integrated HIV Testing, Malaria, and Diarrhea Prevention Campaign in Kenya: Modeled Health Impact and Cost-Effectiveness," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-9, February.
    4. Edward Broughton & Danilo Nunez & Indira Moreno, 2014. "Cost-Effectiveness of Improving Health Care to People with HIV in Nicaragua," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-6, May.
    5. Fylkesnes, Knut & Sandøy, Ingvild Fossgard & Jürgensen, Marte & Chipimo, Peter J. & Mwangala, Sheila & Michelo, Charles, 2013. "Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity: A cluster randomised trial in Zambia," Social Science & Medicine, Elsevier, vol. 86(C), pages 9-16.
    6. James G Kahn & Aliya Jiwani & Gabriela B Gomez & Sarah J Hawkes & Harrell W Chesson & Nathalie Broutet & Mary L Kamb & Lori M Newman, 2014. "The Cost and Cost-Effectiveness of Scaling up Screening and Treatment of Syphilis in Pregnancy: A Model," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-10, January.
    7. Elliot Marseille & Mark J Giganti & Albert Mwango & Angela Chisembele-Taylor & Lloyd Mulenga & Mead Over & James G Kahn & Jeffrey S A Stringer, 2012. "Taking ART to Scale: Determinants of the Cost and Cost-Effectiveness of Antiretroviral Therapy in 45 Clinical Sites in Zambia," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-13, December.
    8. Joseph B Babigumira & Andy Stergachis & David L Veenstra & Jacqueline S Gardner & Joseph Ngonzi & Peter Mukasa-Kivunike & Louis P Garrison, 2012. "Potential Cost-Effectiveness of Universal Access to Modern Contraceptives in Uganda," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-9, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Steffen Flessa, 2009. "Cost effectiveness of antiretrovirals — long term or short term?," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 225-227, December.
    2. Nagelkerke, Nico J.D. & De Vlas, Sake J., 2003. "The epidemiological impact of an HIV vaccine on the HIV/AIDS epidemic in Southern India," Policy Research Working Paper Series 2978, The World Bank.
    3. Bruce Larson & Allan Tindikahwa & George Mwidu & Hannah Kibuuka & Fred Magala, 2015. "How Much Does It Cost to Improve Access to Voluntary Medical Male Circumcision among High-Risk, Low-Income Communities in Uganda?," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-11, March.
    4. Rashidah T Uthman & Andrew J Sutton & Louise J Jackson & Olalekan A Uthman, 2018. "Does directly administered antiretroviral therapy represent good value for money in sub-Saharan Africa? A cost-utility and value of information analysis," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-15, January.
    5. Stéphane Mechoulan, 2006. "Risky Sexual Behavior, Testing and New HIV Treatments," Working Papers tecipa-239, University of Toronto, Department of Economics.
    6. Francis, Andrew M. & Mialon, Hugo M. & Peng, Handie, 2012. "In sickness and in health: Same-sex marriage laws and sexually transmitted infections," Social Science & Medicine, Elsevier, vol. 75(8), pages 1329-1341.
    7. Mead Over & Peter Heywood & Julian Gold & Indrani Gupta & Subhash Hira & Elliot Marseille, 2004. "HIV/AIDS Treatment and Prevention in India : Modeling the Cost and Consequences," World Bank Publications - Books, The World Bank Group, number 14916, December.
    8. James G Kahn & Nicholas Muraguri & Brian Harris & Eric Lugada & Thomas Clasen & Mark Grabowsky & Jonathan Mermin & Shahnaaz Shariff, 2012. "Integrated HIV Testing, Malaria, and Diarrhea Prevention Campaign in Kenya: Modeled Health Impact and Cost-Effectiveness," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-9, February.
    9. Michel Tchuenche & Eurica Palmer & Vibhuti Haté & Ananthy Thambinayagam & Dayanund Loykissoonlal & Emmanuel Njeuhmeli & Steven Forsythe, 2016. "The Cost of Voluntary Medical Male Circumcision in South Africa," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-17, October.
    10. Michel Tchuenche & Vibhuti Haté & Dacia McPherson & Eurica Palmer & Ananthy Thambinayagam & Dayanund Loykissoonlal & Emmanuel Njeuhmeli & Steven Forsythe, 2016. "Estimating Client Out-of-Pocket Costs for Accessing Voluntary Medical Male Circumcision in South Africa," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-10, October.
    11. Kevin Duffy & Moses Galukande & Nick Wooding & Monica Dea & Alex Coutinho, 2013. "Reach and Cost-Effectiveness of the PrePex Device for Safe Male Circumcision in Uganda," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-6, May.
    12. Elliot Marseille & Mark J Giganti & Albert Mwango & Angela Chisembele-Taylor & Lloyd Mulenga & Mead Over & James G Kahn & Jeffrey S A Stringer, 2012. "Taking ART to Scale: Determinants of the Cost and Cost-Effectiveness of Antiretroviral Therapy in 45 Clinical Sites in Zambia," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-13, December.
    13. Jessica B McGillen & John Stover & Daniel J Klein & Sinokuthemba Xaba & Getrude Ncube & Mutsa Mhangara & Geraldine N Chipendo & Isaac Taramusi & Leo Beacroft & Timothy B Hallett & Patrick Odawo & Rumb, 2018. "The emerging health impact of voluntary medical male circumcision in Zimbabwe: An evaluation using three epidemiological models," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-17, July.
    14. Olalekan A Uthman & Taiwo Aderemi Popoola & Mubashir M B Uthman & Olatunde Aremu, 2010. "Economic Evaluations of Adult Male Circumcision for Prevention of Heterosexual Acquisition of HIV in Men in Sub-Saharan Africa: A Systematic Review," PLOS ONE, Public Library of Science, vol. 5(3), pages 1-7, March.
    15. Dickens S Omondi Aduda & Collins Ouma & Rosebella Onyango & Mathews Onyango & Jane Bertrand, 2015. "Voluntary Medical Male Circumcision Scale-Up in Nyanza, Kenya: Evaluating Technical Efficiency and Productivity of Service Delivery," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-17, February.
    16. Hendramoorthy Maheswaran & Stavros Petrou & Danielle Cohen & Peter MacPherson & Felistas Kumwenda & David G Lalloo & Elizabeth L Corbett & Aileen Clarke, 2018. "Economic costs and health-related quality of life outcomes of hospitalised patients with high HIV prevalence: A prospective hospital cohort study in Malawi," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-21, March.
    17. Paul Gavaza & Karen Rascati & Abiola Oladapo & Star Khoza, 2012. "The State of Health Economic Research in South Africa," PharmacoEconomics, Springer, vol. 30(10), pages 925-940, October.
    18. Bertran Auvert & Elliot Marseille & Eline L Korenromp & James Lloyd-Smith & Remi Sitta & Dirk Taljaard & Carel Pretorius & Brian Williams & James G Kahn, 2008. "Estimating the Resources Needed and Savings Anticipated from Roll-Out of Adult Male Circumcision in Sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 3(8), pages 1-8, August.
    19. Margaret Brandeau & Gregory Zaric, 2009. "Optimal investment in HIV prevention programs: more is not always better," Health Care Management Science, Springer, vol. 12(1), pages 27-37, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:aphecp:v:7:y:2009:i:4:p:229-243. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.