A study on the health economic evaluations of prevention of mother-to-child HIV transmission in Dehong prefecture, Yunnan province, China from 2004 to 2013 / 中华预防医学杂志
Chinese Journal of Preventive Medicine
; (12): 490-495, 2015.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-291591
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To conduct health economic evaluation of the prevention of mother-to-child HIV among pregnant women in Dehong prefecture, Yunnan province, China from 2004 to 2013.</p><p><b>METHODS</b>Data on cost were collected mainly from the annual prevention of mother-to-child transmission (PMTCT) reporting system of Dehong prefecture, and supplemented by HIV PMTCT-related resource allocation data from local health bureau. Effectiveness indexes were from local continuous HIV surveillance system and annual reported data. Cost-effectiveness and cost-utility analysis were used to conduct the health economic evaluation.</p><p><b>RESULTS</b>From 2004 to 2013, 283980 pregnant women were screened for HIV, 2 059 were detected as positive, and the HIV positive rate was 0.73%. The total cost of the PMTCT program was 14 227 000 RMB after discounting, and the unit cost of positive case finding was 4 200 RMB. A total of 26 cases of adults and 325 infants were avoided HIV infection, and the cost-effectiveness ratio (CER) was 40 500 RMB/case. The total obtained quality adjusted life years (QALY) from the program was 8 911.5, each one of which cost 1 600 RMB/QALY. If the feeding pattern were breast feeding, CER would be 42 800 RMB/case and each one of QALY would cost 2 200 RMB.</p><p><b>CONCLUSION</b>Based on the cost-effectiveness and cost-utility analysis, the HIV PMTCT of Dehong prefecture had economic value, which indicates that continued investment is needed to strengthen local HIV PMTCT work.</p>
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
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Objetivo 4: Financiamento para a saúde
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Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Infecções por HIV
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China
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Saúde
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Síndrome da Imunodeficiência Adquirida
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Análise Custo-Benefício
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Transmissão Vertical de Doenças Infecciosas
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Anos de Vida Ajustados por Qualidade de Vida
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Custos e Análise de Custo
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Mães
Tipo de estudo:
Avaliação econômica em saúde
Aspecto:
Preferência do paciente
Limite:
Adulto
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Criança
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Feminino
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Humanos
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Lactente
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Gravidez
País/Região como assunto:
Ásia
Idioma:
Chinês
Revista:
Chinese Journal of Preventive Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo