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. 2016 Oct 18;19(7Suppl 6):21104. doi: 10.7448/IAS.19.7.21104

Table 1.

Prevention interventions

Intervention Target population Effectiveness Unit cost Achievable coverage (%)
VMMC Eligible men 60% reduction in RoA $68 per procedure 80
BCC Heterosexual men 20% reduction in RoA $63 pppy 100
Low-risk women 20% reduction in RoA $63 pppy 100
FSW 50% reduction in RoA $28 pppy 100
MSM 50% reduction in RoA $28 pppy 100
Early ART Heterosexual men 70% reduction in RoT $457 pppy 33
Low-risk women 70% reduction in RoT $457 pppy 33
FSW 70% reduction in RoT $457 pppy 66
MSM 70% reduction in RoT $457 pppy 66
PrEP Heterosexual men 75% reduction in RoA $95 pppy 25
Low-risk women 75% reduction in RoA $95 pppy 25
FSW 75% reduction in RoA $95 pppy 50
MSM 75% reduction in RoA $95 pppy 50

A unit cost is assigned to each intervention following the UNAIDS Fast Track framework [17]. For continuity with previous studies [23,24], we assume homogeneity of individual-level efficacies of early ART and PrEP with respect to risk. As this is not a forecast analysis, we do not include discounting of costs or effects, nor do we make assumptions about whether intervention costs would decrease [61] or increase [62] with scale.

VMMC, voluntary medical male circumcision; BCC, behaviour change communication; Early ART, antiretroviral therapy as prevention comprising outreach testing and offering of ART to all HIV-positive people; PrEP, pre-exposure prophylaxis; FSW, female sex workers; MSM, men who have sex with men; RoA, risk of HIV acquisition; RoT, risk of onward HIV transmission; pppy, per person per year.