Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia

Authors

  • Noor Tromp Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, NICHE (Nijmegen International Center for Health Systems Research and Education). The Netherlands
  • Adiatma Siregar Department of Economics, Faculty of Economics and Business, University of Padjadjaran, Ban
  • Barnabas Leuwol Medical Research Unit (UPK), Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia
  • Dindin Komarudin Medical Research Unit (UPK), Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia
  • Andre van der Ven Department of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
  • Reinout van Crevel4 Department of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
  • Rob Baltussen Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, NICHE (Nijmegen International Center for Health Systems Research and Education). The Netherlands

Abstract

Aim: to evaluate the costs-effectiveness of scaling up community-based VCT in West-Java. Methods: the Asian epidemic model (AEM) and resource needs model (RNM) were used to calculate incremental costs per HIV infection averted and per disability-adjusted life years saved (DALYs). Locally monitored demographic, epidemiological behavior and cost data were used as model input. Results: scaling up community-based VCT in West-Java will reduce the overall population prevalence by 36% in 2030 and costs US$248 per HIV infection averted and US$9.17 per DALY saved. Cost-effectiveness estimation were most sensitive to the impact of VCT on condom use and to the population size of clients of female sex workers (FSWs), but were overall robust. The total costs for scaling up community-based VCT range between US$1.3 and 3.8 million per year and require the number of VCT integrated clinics at public community health centers to increase from 73 in 2010 to 594 in 2030. Conclusion: scaling up community-based VCT seems both an effective and cost-effective intervention. However, in order to prioritize VCT in HIV/AIDS control in West-Java, issues of budget availability and organizational capacity should be addressed. Key words: HIV infections, voluntary counselling and testing, cost-effectiveness analysis, decision maker.

Downloads

Published

2016-05-18

How to Cite

Tromp, N., Siregar, A., Leuwol, B., Komarudin, D., der Ven, A. van, Crevel4, R. van, & Baltussen, R. (2016). Cost-effectiveness of Scaling Up Voluntary Counselling and Testing in West-Java, Indonesia. Acta Medica Indonesiana, 45(1). Retrieved from https://actamedindones.org/index.php/ijim/article/view/116

Issue

Vol. 45 No. 1 (2013)

Section

ORIGINAL ARTICLE

License

Copyright

The authors who publish in this journal agree to the following requirements:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a  Creative Commons Attribution 4.0 International License (CC BY 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) before and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. (See The Effect of Open Access)

Privacy Statement

The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.