Comparative Cost Analysis of Four Interventions to Prevent HIV Transmission in Bandung, Indonesia

Authors

  • Eveline J.M. Verstraaten Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
  • Fenna M.M. Beeren Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
  • Jip L.C Janssen Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
  • Sophie Kemper Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
  • Adiatma Y.M Siregar Faculty of Economics, Padjadjaran University, Bandung, Indonesia
  • Noor Tromp Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
  • Rob Baltussen Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Keywords:

Cost and Cost analysis, Early Medical Intervention, HIV, Indonesia

Abstract

Background: the costs of HIV/AIDS interventions in Indonesia are largely unknown. Knowing these costs is an important input for policy makers in the decision-making of setting priorities among HIV/AIDS interventions. The aim of this analysis is to determine the costs of four HIV/AIDS interventions in Bandung, Indonesia in 2015, to inform the local AIDS commission. Methods: data on utilization and costs of the different interventions were collected in a sexual transmitted infections (STI)-clinic and the KPA, the local HIV/AIDS commission, for the period of January 2015-December 2015. The costs were estimated from a societal perspective, using a micro-costing approach. Results: the total annualized costs for condom distribution, mobile voluntary counselling and testing (VCT), religious based information, communication, and education (IEC) and STI services equalled US$56,926, US$2,985, US$1,963 and US$5,865, respectively. Conclusion: this analysis has provided cost estimates of four different HIV/AIDS interventions in Bandung, Indonesia. Additionally, it has estimated the costs of scaling up these interventions. Together, this provides important information for policy makers vis-à-vis the implementation of these interventions. However, an evaluation of the effectiveness of these interventions is needed to estimate the cost-effectiveness.

Author Biographies

Eveline J.M. Verstraaten, Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Eveline is a first year masterstudent in Management, Policy Analysis and Entrepreneurship in Health & Life Science in Amsterdam, The Netherlands. She received a bachelor’s degree in Biomedical Science at the Radboud University in Nijmegen, The Netherlands.  

Fenna M.M. Beeren, Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Fenna is performing her pre-master program Medicine at the Radboud University in Nijmegen, The Netherlands. She received a bachelor’s degree in Biomedical Science at the Radboud University in Nijmegen, The Netherlands. 

Jip L.C Janssen, Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Jip is a first year masterstudent Biomedical Science at the Radboud University, Nijmegen. He received a bachelor’s degree in Biomedical Science at the same University. 

Sophie Kemper, Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Sophie is a first year masterstudent Biomedical Science at the Radboud University, Nijmegen. She received a bachelor’s degree in Biomedical Science at the same University.

Adiatma Y.M Siregar, Faculty of Economics, Padjadjaran University, Bandung, Indonesia

Adiatma Y.M. Siregar is an economist, graduated from Padjadjaran University Bandung in Indonesia. He is currently a staff member at the Faculty of Economics, Department of Economic and Development Studies at the same university. He has also completed his master’s degree in economic studies in the University of Queensland, Australia. He is also currently involved in the IMPACT project, conducting health economics research on HIV/AIDS control. He was seconded to the Radboud University Nijmegen Medical Centre in the period 2008-2012 to work on his thesis.

Noor Tromp, Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Noor Tromp studied Health Technology Assessment (HTA) at the Radboud University Nijmegen Medical Center and combined this master with a minor in International Health and Fundamental of Business and Economics (FBE) at Utrecht University. All these experiences contributed to her special interest for policymaking in international health. In December 2009 she won a RU fellowship for her PhD project on 'Multi-criteria priority setting in HIV/AIDS control in Indonesia. In this project, started in September 2010, she works together with Mr. Adiatma Siregar at the IMPACT project at Padjadjaran University located in Bandung, Indonesia.

Rob Baltussen, Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands

Dr. Rob Baltussen is an economist specialized in international health economics, with a PhD in costing and cost-effectiveness analysis. He has extensive field work experience in around 25 countries in Africa and Asia, and worked as a senior health economist at the World Health Organization in Geneva from 2000-2003. At WHO, he was responsible for the development of WHO guidelines on cost-effectiveness analysis.At present, he is Head of Research at NICHE – the Nijmegen International Center for Health Systems Research and Education, located at the Radboud University Nijmegen Medical Center in the Netherlands. NICHE focuses on international health systems research, more specifically on improving access to health care for poor people, cost and cost-effectiveness analysis of SRH and HIV/AIDS, multi-criteria priority setting, and primary health care. Rob Baltussen is editor-in-chief of the journal Cost-Effectiveness and Resource Allocation and has published more than 85 international papers in Medline-indexed journals.

References

Joint United Nations Programme on HIV/AIDS (UNAIDS). Global report: UNAIDS report on

the global AIDS epidemic 2012. 2012.

AIDS Data Hub. Indonesia Country Profile 2014.

Ministry of Health. IBBS among Key Affected Populations (draft results). 2013.

Tromp N, Siregar A, Leuwol B et al. Cost-effectiveness of scaling up voluntary counselling and testing in West-Java, Indonesia. Acta Med Indones. 2013;45(1):17-25.

Siregar AY, Komarudin D, Leuwol B et al. Economic aspect of HIV/AIDS control and injecting drug use in Indonesia. Acta Med Indones. 2009;41Suppl1:70-4.

Indonesia National AIDS Commission. Republic of Indonesia Country Report on the Follow up to the Declaration of Commitment on HIV/AIDS (UNGASS). 2012.

Indonesian NAC. Global Aids Response Progress Reporting: Indonesia Country Progress Report 2014. Reporting period 2012-2013. Indonesian National Aids Commission, 2014.

UNGASS. Country report on the Follow up to the Declaration of Commitment on HIV/AIDS. National Aids Commission, 2008.

Ministry of Health. Estimates and Projections of HIV and AIDS in Indonesia, draft. Jakarta, Indonesia: 2014.

Aral SO, Blanchard JF. Phase specific approaches to the epidemiology and prevention of sexually transmitted diseases. Sex Transm Infect. 2002;78Suppl1:i1-2.

Boily MC, Lowndes C, Alary M. The impact of HIV epidemic phases on the effectiveness of core group interventions: insights from mathematical models. Sex Transm Infect. 2002;78Suppl1:i78-90.

Ibrahim S, Sidani S. Community Based HIV Prevention Intervention in Developing Countries: A Systematic Review. Advances in Nursing. 2014;2014:11.

Kinsman J, Kamali A, Kanyesigye E et al. Quantitative process evaluation of a community-based HIV/AIDS behavioural intervention in rural Uganda. Health education research. 2002;17(2):253-65.

Indonesia National AIDS Commission. Country Report on the Follow up to the Declaration of Commitment on HIV/AIDS (UNGASS). Reporting Period 2008 ‐ 2009. National AIDS Commission Republic of Indonesia, 2009.

Commission on AIDS in Asia. Redefining AIDS in Asia. Crafting an Effective Response. New Delhi, India: 2008.

Creese A, Parker D. Cost Analysis in Primary Health Care: A Training Manual for Programme Managers. World Health Organisation: 1994.

Priority setting in HIV/AIDS control at district level in Indonesia [8-7-2016]. Available from: http://niche1.nl/projects/id=33/title=priority_setting_in_hiv_aids_control_at_district_level_in_indonesia_

Drummond MF, Sculpher MJ, Torrance GW. Methods for the Economic Evaluation of Health Care Programmes. New York: Oxford University Press; 2005.

The World Bank. World Development Indicators 2015-2016, Official exchange rate (LCU per US$, period average). 2016. Available from:

http://data.worldbank.org/indicator/PA.NUS.FCRF.

Mvundura M, Nundy N, Kilbourne-Brook M et al. Estimating the hypothetical dual health impact and cost-effectiveness of the Woman's Condom in selected sub-Saharan African countries. International journal of women's health. 2015;7:271-7.

Coffey PS, Kols A, Kilbourne-Brook M et al. Condom programming for HIV prevention. An operations manual for programming managers. UNFPA, Department of Reproductive Health and Research WHO, PATH.

Siregar AY, Komarudin D, Wisaksana R et al. Costs and outcomes of VCT delivery models in the context of scaling up services in Indonesia. Tropical medicine & international health: TM & IH. 2011;16(2):193-9.

Tromp N, Prawiranegara R, Subhan Riparev H et al. Priority setting in HIV/AIDS control in West Java Indonesia: an evaluation based on the accountability for reasonableness framework. Health policy and planning. 2015;30(3):345-55. Epub 2014/04/18.

Kemper S, Sihaloho E, Siregar AYM et al. Cost analysis of religious based HIV

AIDS information , education and communication in Bandung , Indonesia [Internet]. Nijmegen, The Netherlands; 2016. Available from: http://niche1.nl/resources/content/publication_file_177_sophie_kemper_article._cost_analysis_of_religious_based_education.pdf

Verstraaten EJM, Siregar AYM, Tromp N et al. Cost Analysis of Mobile Voluntary

Counseling and Testing among Female Sex Workers in Bandung , Indonesia [Internet]. Nijmegen, The Netherlands; 2016. Available from: http://niche1.nl/resources/content/publication_file_180_evy_verstraaten_article._cost_analysis_of_mobile_vct_among_fsw_in_bandung2c_indonesia.pdf

Janssen JLC, Siregar AYM, Tromp N et al. Cost Analysis of Sexual Transmitted Infection

Services for High Risk Groups in Indonesia [Internet]. Nijmegen, The Netherlands; 2016. Available from: http://niche1.nl/resources/content/publication_file_178_jlcjip_janssen_cost_analysis_of_sti_services_for_high_risk_groups_in_indonesia.pdf

Beeren FMM, Siregar AYM, Tromp N et al. Cost-analysis of condom distribution to

hotspots in Bandung , Indonesia [Internet]. Nijmegen, The Netherlands; 2016. Available from: http://niche1.nl/resources/content/publication_file_179_fenna_beeren_article._condom_distribution_program.pdf

Downloads

Published

2017-11-02

How to Cite

Verstraaten, E. J., Beeren, F. M., Janssen, J. L., Kemper, S., Siregar, A. Y., Tromp, N., & Baltussen, R. (2017). Comparative Cost Analysis of Four Interventions to Prevent HIV Transmission in Bandung, Indonesia. Acta Medica Indonesiana, 49(3), 236. Retrieved from https://actamedindones.org/index.php/ijim/article/view/464

Issue

Vol. 49 No. 3 (2017): Acta Medica Indonesiana

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.

Most read articles by the same author(s)