在印尼的社区诊所实施艾滋病毒暴露前预防的成本
Adiatma Yudistira Manogar Siregar1,2,3, Mery Nurma Juwita1, Donny Hardiawan1
1Center for Economics and Development Studies (CEDS), Department of Economics, Faculty of Economics and Business, Universitas Padjadjaran, Bandung, Indonesia.
Tropical medicine & international health : TM & IH
|November 5, 2023
概括
在印度尼西亚实施暴露前预防 (PrEP) 每年每位患者大约需要365美元,比抗逆转录病毒治疗 (ART) 低39%. 这项研究提供了关键的成本数据,用于扩大PrEP,以打击高艾滋病毒率.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 印度尼西亚在亚太地区面临着新的艾滋病毒/艾滋病感染的高发病率.
- 世界卫生组织 (WHO) 建议使用暴露前预防 (PrEP) 作为预防艾滋病毒的关键策略.
- 关于在发展中国家,特别是东南亚实施PrEP的成本的数据有限.
研究的目的:
- 估计印尼社区诊所实施PrEP的成本.
- 为扩大PrEP服务提供具有成本效益的战略提供信息.
- 为艾滋病毒预防计划提供必要的预算影响信息.
主要方法:
- 收集了来自印度尼西亚九家社区诊所的医疗保健和非医疗保健费用.
- 分析了经常性和资本医疗保健成本,包括资源利用率和3%的折扣率.
- 评估了客户的自付费用 (运输,餐饮) 和生产力损失,平均每诊所采访了27名客户.
主要成果:
- 每位患者提供PrEP的年度成本估计为365.03美元,远低于ART (600美元) 的年度成本 (39%).
- 药物成本和非医疗保健费用约占实施总成本的67%.
- 覆盖802名客户的PrEP的年度估计总成本为292,756.45美元,每次访问的非医疗保健费用不超过家庭平均月度支出的10%.
结论:
- 强调了PrEP的成本效益,比ART便宜得多.
- 降低PrEP抗逆转录病毒药物的成本可以进一步降低整体实施费用.
- 扩大PrEP需要认识到其成本结构,实现规模经济,并控制新的艾滋病毒感染.
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