低・中所得国におけるHIV/エイズ予防プログラムの拡大による世界的な影響
John Stover1, Stefano Bertozzi, Juan-Pablo Gutierrez
1Futures Group/Constella, Glastonbury, CT 06033, USA.
Science (New York, N.Y.)
|February 4, 2006
まとめ
現在,HIV予防プログラムに投資することで,何百万もの感染を回避し,お金を節約できます. 性的感染と注射薬物使用者の間での早期介入は,長期的な経済的利益をもたらします.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 健康経済学 医療経済学
背景:
- HIVは,特に低所得および中所得国において,世界的な健康上の大きな課題であり続けています.
- 性的感染と注射薬物使用者を対象とした予防プログラムは,流行を制御するために不可欠です.
- これらの重要な予防の取り組みを拡大するには,かなりの投資が必要である.
研究 の 目的:
- 新しい感染に対する拡大されたHIV予防プログラムの潜在的な影響を定量化するために.
- HIV予防への投資による経済的コストと利益を分析する.
- 新しいHIV症例の予防の長期的な経済的影響を予測する.
主な方法:
- 2005年から2015年にかけての新規HIV感染を予測するモデリング分析.
- 予防介入の費用対効果の分析.
- 将来の治療と介護コストの削減の見積もり.
主要な成果:
- 拡大された予防プログラムは,2005年から2015年の間に2千8百万の新規HIV感染を防ぐことができます.
- これは125カ国で予測される新規感染の半分以上を表しています.
- 1件の新規感染を予防するコストは3900ドルと推定され,将来のケアに4700ドルの節約をもたらします.
結論:
- HIV予防に対する強力な世界的なコミットメントは不可欠であり,費用対効果的です.
- 予防プログラムへの投資の増加は,実質的な長期的な財政的節約をもたらします.
- 標的型予防を通じて新たなHIV感染を回避することは,健全な経済戦略です.
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