Cost Effectiveness Analysis of PMTCT Service Delivery Modalities in Addis Ababa (Using Decision Models)

12 Pages Posted: 26 Nov 2012

See all articles by Elias Zegeya

Elias Zegeya

Ethiopian Health and Nutrition Research Institute

Kora Tushune

Jimma University (JU)

Birna Abdosh

Independent

Pedro Paulo M. Chrispim

Health Secretariat of the State of Rio de Janeiro - Pharmacovigillance Unit

Date Written: November 26, 2012

Abstract

Background: Identification of cost-effective modalities of PMTCT service delivery is the priority area to decrease the HIV transmission from mother to child.

Methodology: The study employed both primary and secondary data to analyse the parameters in the decision model.

Result: Cost effectiveness analysis among the three alternatives (no interventions, opt-in and opt-out approach) showed that the opt-out approach would be the most cost effective approach; which would costs 9,597,906 birr ($972,038) and avert 640 cases at CER of 1,989 birr ($201). On the other hand, adopting the opt-in approach would avert 397 and cost 9,318,723 birr ($943,763) at CER of 2,504 birr ($253).

Recommendation: Opt-out approach of PMTCT service delivery modality would be the more cost effective strategy as compared to opt-in approach in Addis Ababa. Decisions on recommending particular PMTCT service delivery from economic perspective should be based on the local HIV prevalence, acceptance of VCT and VCT costs.

Keywords: Cost Effectiveness Analysis, PMTCT

JEL Classification: D61

Suggested Citation

Zegeya, Elias and Tushune, Kora and Abdosh, Birna and Chrispim, Pedro Paulo M., Cost Effectiveness Analysis of PMTCT Service Delivery Modalities in Addis Ababa (Using Decision Models) (November 26, 2012). Available at SSRN: https://ssrn.com/abstract=2180719 or http://dx.doi.org/10.2139/ssrn.2180719

Elias Zegeya (Contact Author)

Ethiopian Health and Nutrition Research Institute ( email )

PO Box 5654
Addis Ababa
United States

Kora Tushune

Jimma University (JU)

Ethiopia

Birna Abdosh

Independent

Pedro Paulo M. Chrispim

Health Secretariat of the State of Rio de Janeiro - Pharmacovigillance Unit

Rio de Janeiro
Brazil

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