Evidence map›Paper›PMID 25373519›Full record

SynthesisJournal of the International AIDS Society2014

The cost and cost-effectiveness of gender-responsive interventions for HIV: a systematic review.

Michelle Remme, Mariana Siapka, Anna Vassall, Lori Heise, Jantine Jacobi, Claudia Ahumada, Jill Gay, Charlotte Watts

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the International AIDS Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
12.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  18. Getting to 90-90-90 in paediatric HIV: What is needed?Journal of the International AIDS Society · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Michelle RemmeSocial and Mathematical Epidemiology (SaME) Group, London School of Hygiene and Tropical Medicine, London, UK; michelle.remme@lshtm.ac.uk.
Mariana SiapkaSocial and Mathematical Epidemiology (SaME) Group, London School of Hygiene and Tropical Medicine, London, UK.
Anna VassallSocial and Mathematical Epidemiology (SaME) Group, London School of Hygiene and Tropical Medicine, London, UK.
Lori HeiseSocial and Mathematical Epidemiology (SaME) Group, London School of Hygiene and Tropical Medicine, London, UK.
Jantine JacobiJoint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland.
Claudia AhumadaJoint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland.
Jill GayHealth Policy Project, Futures Group, Washington, DC, USA.
Charlotte WattsSocial and Mathematical Epidemiology (SaME) Group, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBJoint United Nations Programme on HIV/AIDS · CHFutures Group (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHarmful gender norms and inequalities, including gender-based violence, are important structural barriers to effective HIV programming. We assess current evidence on what forms of gender-responsive intervention may enhance the effectiveness of basic HIV programmes and be cost-effective.

methodsEffective intervention models were identified from an existing evidence review ("what works for women"). Based on this, we conducted a systematic review of published and grey literature on the costs and cost-effectiveness of each intervention identified. Where possible, we compared incremental costs and effects.

resultsOur effectiveness search identified 36 publications, reporting on the effectiveness of 22 HIV interventions with a gender focus. Of these, 11 types of interventions had a corresponding/comparable costing or cost-effectiveness study. The findings suggest that couple counselling for the prevention of vertical transmission; gender empowerment, community mobilization, and female condom promotion for female sex workers; expanded female condom distribution for the general population; and post-exposure HIV prophylaxis for rape survivors are cost-effective HIV interventions. Cash transfers for schoolgirls and school support for orphan girls may also be cost-effective in generalized epidemic settings.

conclusionsThere has been limited research to assess the cost-effectiveness of interventions that seek to address women's needs and transform harmful gender norms. Our review identified several promising, cost-effective interventions that merit consideration as critical enablers in HIV investment approaches, as well as highlight that broader gender and development interventions can have positive HIV impacts. By no means an exhaustive package, these represent a first set of interventions to be included in the investment framework.

Indexed as

Communicable Disease ControlCost-Benefit AnalysisDisease Transmission, InfectiousFemaleHIV InfectionsHumansSex Factorscostcost-effectivenesscritical enablersdevelopment synergiesgender-based violencegender equalityHIV/AIDSinvestment approaches

Identifiers

PMID25373519
PMCPMC4221500
OpenAlexW2026555083

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.