TABLE 2—
No Free VCT | Free VCT Campaign | Sustained Free VCT | ||||||||||||||||
Number Treated | New Diagnoses | Infections Averted | Cost Per Infection Averteda | DALYs Gained | Cost Per DALY, US $ | Number Treated | New Diagnoses | Infections Averted | Cost Per Infection Averted | DALYs Gained | Cost Per DALY, US $ | Number Treated | New Diagnoses | Infections Averted | Cost Per Infection Averted | DALYs Gained | Cost Per DALY, US $ | |
Prevention | ||||||||||||||||||
HIV prevalence | ||||||||||||||||||
Observed (16.7%) | . . . | . . . | 67.9 | 169.69 | 1321 | 8.72 | . . . | . . . | 131.0 | 105.12 | 2549 | 5.40 | . . . | . . . | 275.0 | 91.89 | 5352 | 4.72 |
Low (8%) | . . . | . . . | 40.0 | 288.04 | 778 | 14.80 | . . . | . . . | 77.2 | 178.47 | 1502 | 9.17 | . . . | . . . | 162.0 | 156.00 | 3152 | 8.02 |
High (25%) | . . . | . . . | 95.0 | 121.24 | 1848 | 6.23 | . . . | . . . | 183.3 | 75.12 | 3567 | 3.86 | . . . | . . . | 384.9 | 65.66 | 7490 | 3.37 |
New diagnoses | ||||||||||||||||||
HIV prevalence | ||||||||||||||||||
Observed (16.7%) | . . . | 161.4 | . . . | . . . | . . . | . . . | . . . | 311.3 | . . . | . . . | . . . | . . . | . . . | 653.8 | . . . | . . . | . . . | . . . |
Low (8%) | . . . | 77.3 | . . . | . . . | . . . | . . . | . . . | 149.1 | . . . | . . . | . . . | . . . | . . . | 313.2 | . . . | . . . | . . . | . . . |
High (25%) | . . . | 241.5 | . . . | . . . | . . . | . . . | . . . | 466.0 | . . . | . . . | . . . | . . . | . . . | 978.8 | . . . | . . . | . . . | . . . |
Antiretroviral treatmentb | ||||||||||||||||||
Rates of treatment | ||||||||||||||||||
Medium (30%) | 48.4 | . . . | . . . | . . . | 48.4 | 420.00c | 93.4 | . . . | . . . | . . . | 93.4 | 420.00 | 196.1 | . . . | . . . | . . . | 196.1 | 420.00 |
Low (10%) | 16.1 | . . . | . . . | . . . | 16.1 | 420.00c | 31.1 | . . . | . . . | . . . | 31.1 | 420.00 | 65.4 | . . . | . . . | . . . | 65.4 | 420.00 |
High (50%) | 80.7 | . . . | . . . | . . . | 80.7 | 420.00c | 155.6 | . . . | . . . | . . . | 155.6 | 420.00 | 326.9 | . . . | . . . | . . . | 326.9 | 420.00 |
Tuberculosis prophylaxisb | ||||||||||||||||||
Rates of treatment | ||||||||||||||||||
Medium (50%) | 80.7 | . . . | . . . | . . . | 12.1 | 166.67d | 155.6 | . . . | . . . | . . . | 23.3 | 166.67 | 326.9 | . . . | . . . | . . . | 49.0 | 166.67 |
Low (30%) | 48.4 | . . . | . . . | . . . | 7.3 | 166.67d | 93.4 | . . . | . . . | . . . | 14.0 | 166.67 | 196.1 | . . . | . . . | . . . | 29.4 | 166.67 |
High (70%) | 112.9 | . . . | . . . | . . . | 16.9 | 166.67d | 217.9 | . . . | . . . | . . . | 32.7 | 166.67 | 457.7 | . . . | . . . | . . . | 68.6 | 166.67 |
Summaryb | ||||||||||||||||||
Scenario | ||||||||||||||||||
Medium treatment | . . . | . . . | . . . | . . . | 1381.4 | 24.52 | . . . | . . . | . . . | . . . | 2666.0 | 21.34 | . . . | . . . | . . . | . . . | 5,597.2 | 20.69 |
Low treatment | . . . | . . . | . . . | . . . | 1344.3 | 14.51 | . . . | . . . | . . . | . . . | 2594.4 | 11.25 | . . . | . . . | . . . | . . . | 5,446.9 | 10.58 |
High treatment | . . . | . . . | . . . | . . . | 1418.5 | 34.00 | . . . | . . . | . . . | . . . | 2737.6 | 30.90 | . . . | . . . | . . . | . . . | 5,747.6 | 30.28 |
Note. VCT = voluntary counseling and testing; DALY = disability-adjusted life year.
aBased on previous estimates in Tanzania.2
b With an observed HIV infection prevalence of 16.7%.
cAssumes cost for antiretroviral therapy of $35 per month and does not include cost for monitoring and care.
dBased on an estimated cost of $25 for 6 months of preventive therapy.15