Browsing by Subject "HIV Prevention"

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    Open Access
    The cost of HIV prevention and treatment interventions in South Africa
    (2003) Geffen, Nathan; Nattrass, Nicoli; Raubenheimer, Chris
    This paper estimates the costs of introducing several AIDS-related prevention and treatment programmes in South Africa.1 Our approach combines detailed information about the costs of implementing these interventions with demographic projections of their impact. Information about prices, wages and other cost components is drawn from a range of primary and secondary sources. Johnson and Dorrington’s (2002) modelling of the demographic impact of four AIDS-related health interventions is a central input into our costing exercise. We begin the paper with an overview of the key characteristics and results of their ASSA2000 ‘Interventions Model’.2 The paper then discusses the cost components of each of these interventions. We draw attention to the additional costs not considered in our primary analysis, and to the effect of antiretroviral medicine prices on the total cost of providing highly active antiretroviral therapy (HAART) to those who need it. HAART is expensive, but the net costs to government are significantly lower than the direct costs of providing HAART. This is because people on HAART experience fewer opportunistic infections (OIs) – thereby saving the government the costs of treating those OIs. We estimate these ‘hospital costs averted’, provide a brief discussion of the savings associated with fewer orphans, and then conclude with a calculation of the cost of prevention and treatment programmes as a percentage of GNP.
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    Open Access
    HIV/AIDS, chronic diseases and globalisation
    (BioMed Central Ltd, 2011) Colvin, Christopher J
    HIV/AIDS has always been one of the most thoroughly global of diseases. In the era of widely available anti-retroviral therapy (ART), it is also commonly recognised as a chronic disease that can be successfully managed on a long-term basis. This article examines the chronic character of the HIV/AIDS pandemic and highlights some of the changes we might expect to see at the global level as HIV is increasingly normalised as "just another chronic disease". The article also addresses the use of this language of chronicity to interpret the HIV/AIDS pandemic and calls into question some of the consequences of an uncritical acceptance of concepts of chronicity.