ArticlePloS one2012
Integrated HIV testing, malaria, and diarrhea prevention campaign in Kenya: modeled health impact and cost-effectiveness.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Measurement of benefits in economic evaluations of nutrition interventions in low- and middle-income countries: A systematic review.Maternal & child nutrition · 2022Pooled it
- Systematic Literature Review of Health Impact Assessments in Low and Middle-Income Countries.International journal of environmental research and public health · 2019Pooled it
- Impact of cotrimoxazole and insecticide-treated nets for malaria prevention on key outcomes among HIV-infected adults in low- and middle-income countries: a systematic review.Journal of acquired immune deficiency syndromes (1999) · 2015Pooled it
- Systematic review of strategies to increase men's HIV-testing in sub-Saharan Africa.AIDS (London, England) · 2014Pooled it
- Towards universal voluntary HIV testing and counselling: a systematic review and meta-analysis of community-based approaches.PLoS medicine · 2013Pooled it
- Cost of HPV screening at community health campaigns (CHCs) and health clinics in rural Kenya.BMC health services research · 2018Trial
- Cervical cancer screening through human papillomavirus testing in community health campaigns versus health facilities in rural western Kenya.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2018Trial
- Trial
- Predictive factors of plasma HIV suppression during pregnancy: a prospective cohort study in Benin.PloS one · 2013Trial
- The overlapping burden of the three leading causes of disability and death in sub-Saharan African children.Nature communications · 2022Article
- Annual home-based HIV testing in the Chókwè Health Demographic Surveillance System, Mozambique, 2014 to 2019: serial population-based survey evaluation.Journal of the International AIDS Society · 2021Article
- Promoting HIV Testing by Men: A Discrete Choice Experiment to Elicit Preferences and Predict Uptake of Community-based Testing in Uganda.Applied health economics and health policy · 2020Article
- Recommendations for the use of mathematical modelling to support decision-making on integration of non-communicable diseases into HIV care.Journal of the International AIDS Society · 2020Article
- How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations.Social science & medicine (1982) · 2019Article
- Spatial overlaps in the distribution of HIV/AIDS and malaria in Zimbabwe.BMC infectious diseases · 2018Article
- Evaluating a community-based cervical cancer screening strategy in Western Kenya: a descriptive study.BMC women's health · 2018Article
- Delivering Vitamin A Supplements to Children Aged 6-59 Months: Comparing Delivery through Campaigns and through Routine Health Services in Senegal.Current developments in nutrition · 2018Article
- Cost-effectiveness of health care service delivery interventions in low and middle income countries: a systematic review.Global health research and policy · 2018Review
- A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities.AIDS and behavior · 2017Article
- Cost-effectiveness analysis of malaria interventions using disability adjusted life years: a systematic review.Cost effectiveness and resource allocation : C/E · 2017Review
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundEfficiently delivered interventions to reduce HIV, malaria, and diarrhea are essential to accelerating global health efforts. A 2008 community integrated prevention campaign in Western Province, Kenya, reached 47,000 individuals over 7 days, providing HIV testing and counseling, water filters, insecticide-treated bed nets, condoms, and for HIV-infected individuals cotrimoxazole prophylaxis and referral for ongoing care. We modeled the potential cost-effectiveness of a scaled-up integrated prevention campaign.
methodsWe estimated averted deaths and disability-adjusted life years (DALYs) based on published data on baseline mortality and morbidity and on the protective effect of interventions, including antiretroviral therapy. We incorporate a previously estimated scaled-up campaign cost. We used published costs of medical care to estimate savings from averted illness (for all three diseases) and the added costs of initiating treatment earlier in the course of HIV disease.
resultsPer 1000 participants, projected reductions in cases of diarrhea, malaria, and HIV infection avert an estimated 16.3 deaths, 359 DALYs and $85,113 in medical care costs. Earlier care for HIV-infected persons adds an estimated 82 DALYs averted (to a total of 442), at a cost of $37,097 (reducing total averted costs to $48,015). Accounting for the estimated campaign cost of $32,000, the campaign saves an estimated $16,015 per 1000 participants. In multivariate sensitivity analyses, 83% of simulations result in net savings, and 93% in a cost per DALY averted of less than $20. DISCUSSION: A mass, rapidly implemented campaign for HIV testing, safe water, and malaria control appears economically attractive.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.