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HIV Cost-effectiveness

4/16/2013

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The CDC Division of HIV/AIDS Prevention is pleased to provide a basic guide to the cost-effectiveness analysis of prevention interventions for HIV infection and AIDS. The purpose of this guide is to help prevention program staff and planners become more familiar with potential uses of economic evaluation
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Cost per new HIV diagnosis

HIV interventions, such as screening and partner services, are intended to identify HIV-positive persons who are unaware of their infection. When evaluating several such programs in CE analysis, the outcome “new HIV diagnoses” is often used to enable a comparison across these programs; so the CE ratio is expressed in terms of cost per new HIV diagnosis.
...Cost of HIV treatmentA large fraction of the economic burden of HIV/AIDS is the medical costs of treating persons with HIV. Medical cost estimates are often based on health care utilization by persons with HIV disease. The costs associated with health care utilization in each disease stage are summed across all disease stages from infection to death. The average annual cost of HIV care in the ART era was estimated to be $19,912 (in 2006 dollars; $23,000 in 2010 dollars).3 The most recent published estimate of lifetime HIV treatment costs was $367,134 (in 2009 dollars; $379,668 in 2010 dollars).4

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