Titre : | Cost-effectiveness of free HIV voluntary counseling and testing through a community-based AIDS service organization in Northern Tanzania. (2006) |
Auteurs : | Nathan-M THIELMAN ; John-A BARTLETT ; Helen-Y CHU ; CRUMP (John-A) : TZA. Kilimanjaro Christian Medical Centre and Kilimanjaro Christian Medical College of Tumaini University. Moshi. ; Dafrosa-K ITEMBA ; Anna MGONJA ; Sabina MTWEVE ; Jan OSTERMANN ; SHAO (John-F) : TZA. Tumaini University. Moshi. ; Duke University Medical Center. Division of Infectious Diseases and International Health. Durham. NC. USA ; Kikundi cha Wanawake Kilimanjaro Kupambana. (K.I.W.A.K.K.U.K.I.). Women Against Aids in Kilimanjaro. TZA |
Type de document : | Article |
Dans : | American journal of public health (vol. 96, n° 1, Janvier 2006) |
Pagination : | 114-119 |
Langues: | Anglais |
Mots-clés : | Sérologie ; Analyse coût efficacité ; Economie santé ; Dépistage ; Sida ; Virose ; Infection ; Diagnostic ; VIH ; Rétrovirus ; Virus ; Bénévolat ; Homme ; Santé communautaire ; Attitude ; Tanzanie ; Afrique ; Immunopathologie |
Résumé : | [BDSP. Notice produite par INIST-CNRS R0xma6xP. Diffusion soumise à autorisation]. Objectives. We evaluated the cost-effectiveness of fee-based and free testing strategies at an HIV voluntary counseling and testing (VCT) program integrated into a community-based AIDS service organization in Moshi, Tanzania. Methods. We waived the usual fee schedule during a 2-week free, advertised VCT campaign ; analyzed the number of clients testing per day during prefree, free, and postfree testing periods ; and estimated the cost-effectiveness of limited and sustained free testing strategies. Results. The number of clients testing per day increased from 4.1 during the prefree testing interval to 15.0 during the free testing campaign (P<. and remained significantly increased at after resumption of the standard fees. hiv seroprevalence risk behaviors were unchanged over these intervals. modeled year costs per infection averted with fee schedule a free vct campaign sustained year-round respectively disability-adjusted life gained respectively.> |
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