The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi.

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Title: The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi.
Authors: Renaud, A. (AUTHOR), Basenya, O. (AUTHOR), de Borman, N. (AUTHOR), Greindl, I. (AUTHOR), Meyer-Rath, G. (AUTHOR)
Source: AIDS Care. Nov2009, Vol. 21 Issue 11, p1388-1394. 7p. 9 Charts, 1 Graph.
Subjects: Medical care costs, HIV-positive persons, Antiretroviral agents, Cost effectiveness, Nongovernmental organizations
Geographic Terms: Bujumbura (Burundi), Burundi
Abstract: The incremental cost effectiveness of an integrated care package (i.e., medical care including antiretroviral therapy (ART) and other services such as psychological and social support) for people living with HIV/AIDS was calculated in a not-for-profit primary health care centre in Bujumbura run by Society of Women against AIDS-Burundi (SWAA-Burundi), an African non-governmental organisation (NGO). Results are expressed as cost-effectiveness ratio 2007, constant US$ per disability-adjusted life year (DALY) averted. Unit costs are estimated from the NGO's accounting data and activity reports, healthcare utilisation is estimated from the medical records of a cohort of 149 patients. Effectiveness is modelled on the survival of this cohort, using standard calculation methods. The incremental cost of integrated care for people living with HIV/AIDS in the Bujumbura health centre of SWAA-Burundi is 258 US$ per DALY averted. The package of care provided by SWAA-Burundi is therefore a very cost-effective intervention in comparison with other interventions against HIV/AIDS that include ART. It is however, less cost effective than other types of interventions against HIV/AIDS, such as preventive activities. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi.
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  Data: <searchLink fieldCode="AR" term="%22Renaud%2C+A%2E%22">Renaud, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Basenya%2C+O%2E%22">Basenya, O.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Borman%2C+N%2E%22">de Borman, N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Greindl%2C+I%2E%22">Greindl, I.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meyer-Rath%2C+G%2E%22">Meyer-Rath, G.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Nov2009, Vol. 21 Issue 11, p1388-1394. 7p. 9 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Antiretroviral+agents%22">Antiretroviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+effectiveness%22">Cost effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Nongovernmental+organizations%22">Nongovernmental organizations</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Bujumbura+%28Burundi%29%22">Bujumbura (Burundi)</searchLink><br /><searchLink fieldCode="DE" term="%22Burundi%22">Burundi</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The incremental cost effectiveness of an integrated care package (i.e., medical care including antiretroviral therapy (ART) and other services such as psychological and social support) for people living with HIV/AIDS was calculated in a not-for-profit primary health care centre in Bujumbura run by Society of Women against AIDS-Burundi (SWAA-Burundi), an African non-governmental organisation (NGO). Results are expressed as cost-effectiveness ratio 2007, constant US$ per disability-adjusted life year (DALY) averted. Unit costs are estimated from the NGO's accounting data and activity reports, healthcare utilisation is estimated from the medical records of a cohort of 149 patients. Effectiveness is modelled on the survival of this cohort, using standard calculation methods. The incremental cost of integrated care for people living with HIV/AIDS in the Bujumbura health centre of SWAA-Burundi is 258 US$ per DALY averted. The package of care provided by SWAA-Burundi is therefore a very cost-effective intervention in comparison with other interventions against HIV/AIDS that include ART. It is however, less cost effective than other types of interventions against HIV/AIDS, such as preventive activities. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09540120902884042
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              Text: Nov2009
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