Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa

Simple item page
dc.contributor.authorBoulle, Andrew
dc.contributor.authorKenyon, Christopher
dc.contributor.authorSkordis, Jolene
dc.contributor.authorWood, Robin
dc.date.accessioned2016-05-10T12:29:38Z
dc.date.available2016-05-10T12:29:38Z
dc.date.issued2002
dc.date.updated2016-05-10T12:26:22Z
dc.description.abstractBackground: The role of antiretroviral treatment for adults in the pubic sector in South Africa is debated with little consideration of programme choices that could impact on the cost-effectiveness of the intervention. This study seeks to explore the impact of these programme choices at an individual level, as well as explore the total cost of a rationed national public sector antiretroviral treatment programme. Methods: Eight Scenarios were modelled of limited national treatment programmes over the next 5 years, reflecting different programme design choices. The individual costeffectiveness of these scenarios were compared. The total costs of the most cost-effective scenario were calculated, and the potential for savings in other areas of health care utilisation was explored. Results: The direct programme costs per life-year saved varied between scenarios from R5 923 to R11 829. All the costs of the most cost-effective scenario could potentially be offset depending on assumptions of health care access and utilisation. The total programme costs for the most costeffective scenario in 2007 with 107 000 people on treatment are around R409 million. Conclusion: Specific policy choices could almost double the number of people who could benefit from an investment in a limited national antiretroviral treatment programme. Such a programme is affordable within current resource constraints. The consideration of antiretroviral treatment calls for a unique public health approach to the rationing of health services in the public sector.en_ZA
dc.identifier.apacitationBoulle, A., Kenyon, C., Skordis, J., & Wood, R. (2002). Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/19553en_ZA
dc.identifier.chicagocitationBoulle, Andrew, Christopher Kenyon, Jolene Skordis, and Robin Wood "Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa." <i>South African Medical Journal</i> (2002) http://hdl.handle.net/11427/19553en_ZA
dc.identifier.citationBoulle, A., Kenyon, C., Skordis, J., & Wood, R. (2002). Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa. South African Medical Journal, 92(10), 811-817.en_ZA
dc.identifier.issn0256-9574en_ZA
dc.identifier.ris TY - Journal Article AU - Boulle, Andrew AU - Kenyon, Christopher AU - Skordis, Jolene AU - Wood, Robin AB - Background: The role of antiretroviral treatment for adults in the pubic sector in South Africa is debated with little consideration of programme choices that could impact on the cost-effectiveness of the intervention. This study seeks to explore the impact of these programme choices at an individual level, as well as explore the total cost of a rationed national public sector antiretroviral treatment programme. Methods: Eight Scenarios were modelled of limited national treatment programmes over the next 5 years, reflecting different programme design choices. The individual costeffectiveness of these scenarios were compared. The total costs of the most cost-effective scenario were calculated, and the potential for savings in other areas of health care utilisation was explored. Results: The direct programme costs per life-year saved varied between scenarios from R5 923 to R11 829. All the costs of the most cost-effective scenario could potentially be offset depending on assumptions of health care access and utilisation. The total programme costs for the most costeffective scenario in 2007 with 107 000 people on treatment are around R409 million. Conclusion: Specific policy choices could almost double the number of people who could benefit from an investment in a limited national antiretroviral treatment programme. Such a programme is affordable within current resource constraints. The consideration of antiretroviral treatment calls for a unique public health approach to the rationing of health services in the public sector. DA - 2002 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2002 SM - 0256-9574 T1 - Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa TI - Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa UR - http://hdl.handle.net/11427/19553 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19553
dc.identifier.vancouvercitationBoulle A, Kenyon C, Skordis J, Wood R. Exploring the costs of a limited public sector antiretroviral treatment programme in South Africa. South African Medical Journal. 2002; http://hdl.handle.net/11427/19553.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Group (HMPG)en_ZA
dc.publisher.departmentCentre for Social Science Research(CSSR)en_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journalen_ZA
dc.source.urihttp://www.ajol.info/index.php/samj
dc.subject.otherAdult
dc.subject.otherAnti-HIV Agents
dc.subject.otherEconomics
dc.subject.otherCost of Illness
dc.subject.otherCost-Benefit Analysis
dc.subject.otherDrug Monitoring
dc.titleExploring the costs of a limited public sector antiretroviral treatment programme in South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Boulle_Exploring_costs_a_2002.pdf
Size:
640.64 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles