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The Economics of the Global Response to HIV/AIDS$
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Markus Haacker

Print publication date: 2016

Print ISBN-13: 9780198718048

Published to Oxford Scholarship Online: August 2016

DOI: 10.1093/acprof:oso/9780198718048.001.0001

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Cost-effectiveness of HIV/AIDS Interventions

Cost-effectiveness of HIV/AIDS Interventions

(p.134) 9 Cost-effectiveness of HIV/AIDS Interventions
The Economics of the Global Response to HIV/AIDS

Markus Haacker

Oxford University Press

The chapter develops a forward-looking analysis of the cost-effectiveness of HIV prevention interventions, taking into account HIV transmission dynamics and spending commitments implied by new HIV infections. The dynamic and population-level effects of averting an HIV infection differ because an individual not infected because of an intervention does not infect others and so on, but he or she may become infected at a later time. As HIV is predominantly transmitted sexually, the impacts of HIV prevention interventions differ according to risk behaviour, but also to factors (e.g. age) of the individuals targeted. The chapter discusses HIV infections averted and financial savings achieved through condom use across age groups; population-level effects of averting one HIV infection across risk groups; the effectiveness, cost-effectiveness, and the financial returns to investments of male circumcision; and the cost-effectiveness of treatment, in terms of immediate health outcomes and HIV prevention.

Keywords:   HIV/AIDS, cost-effectiveness, fiscal space, HIV prevention, condoms, prevention of mother-to-child transmission of HIV (PMTCT), male circumcision, men who have sex with men (MSM), female sex workers, treatment as prevention

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