Article Dans Une Revue AIDS Care Année : 2009

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

Adrien Renaud
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Olivier Basenya
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Nicolas de Borman
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Isaline Greindl
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Gesine Meyer-Rath
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Résumé

The incremental cost effectiveness of an integrated care package (i.e. medical care including antiretroviral therapy 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 (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 antiretroviral therapy (ART). It is however, less cost-effective than other types of interventions against HIV/AIDS, such as preventive activities.

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hal-00545378 , version 1 (10-12-2010)

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Adrien Renaud, Olivier Basenya, Nicolas de Borman, Isaline Greindl, Gesine Meyer-Rath. The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi. AIDS Care, 2009, 21 (11), pp.1388-1394. ⟨10.1080/09540120902884042⟩. ⟨hal-00545378⟩
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