dc.contributor.author | John, Francis N | |
dc.contributor.author | Farquhar, Carey | |
dc.contributor.author | Kiarie, James N | |
dc.contributor.author | Kabura, Marjory N | |
dc.contributor.author | John-Stewart, Grace C | |
dc.date.accessioned | 2013-04-16T12:58:24Z | |
dc.date.available | 2013-04-16T12:58:24Z | |
dc.date.issued | 2008 | |
dc.identifier.citation | Int J STD AIDS. 2008 June; 19(6): 406–409. | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/18595879 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16162 | |
dc.description | Full text | en |
dc.description.abstract | Data collected in the years 2001–2003 from an antenatal clinic in Nairobi, Kenya, were used to assess the benefit of couple counselling and test it as a way of increasing the uptake of interventions in the prevention of mother-to-child transmission of HIV-1. Among 2833 women enrolled, 311 (11%) received couple pretest counselling and 2100 (74%) accepted HIV-1 testing. Among those tested 314 (15%) were HIV-1 seropositive. We incorporated these and other data from the cohort study into a spreadsheet-based model and costs associated with couple counselling were compared with individual counselling in a theoretical cohort of 10,000 women. Voluntary couple counselling and testing (VCT), although more expensive, averted a greater number of infant infections when compared with individual VCT. Cost per disability-adjusted life year was similar to that of individual VCT. Sensitivity analyses found that couple VCT was more cost-effective in scenarios with increased uptake of couple counselling and higher HIV-1 prevalence. | en |
dc.language.iso | en | en |
dc.subject | Cost effectiveness | en |
dc.subject | HIV-1 prevention | en |
dc.subject | HIV-1 transmission | en |
dc.title | Cost effectiveness of couple counselling to enhance infant HIV-1 prevention | en |
dc.type | Article | en |
local.publisher | Department of Obstetrics and Gynaecology | en |