Cost-effectiveness of integrated HIV prevention and family planning services for Zambian couples
OBJECTIVE:To present the incremental cost from the payerʼs perspective and effectiveness of couples’ family planning counseling (CFPC) with long-acting reversible contraception (LARC) access integrated with couples’ voluntary HIV counseling and testing (CVCT) in Zambia. This integrated program is ev...
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| Published in | AIDS (London) Vol. 34; no. 11; pp. 1633 - 1642 |
|---|---|
| Main Authors | , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Wolters Kluwer Health, Inc. All rights reserved
01.09.2020
Copyright Wolters Kluwer Health, Inc |
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| Online Access | Get full text |
| ISSN | 0269-9370 1473-5571 1473-5571 |
| DOI | 10.1097/QAD.0000000000002584 |
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| Abstract | OBJECTIVE:To present the incremental cost from the payerʼs perspective and effectiveness of couples’ family planning counseling (CFPC) with long-acting reversible contraception (LARC) access integrated with couples’ voluntary HIV counseling and testing (CVCT) in Zambia. This integrated program is evaluated incremental to existing individual HIV counseling and testing and family planning services.
DESIGN:Implementation and modelling.
SETTING:Fifty-five government health facilities in Zambia.
SUBJECTS:Patients in government health facilities.
INTERVENTION:Community health workers and personnel promoted and delivered integrated CVCT+CFPC from March 2013 to September 2015.
MAIN OUTCOME MEASURES:We report financial costs of actual expenditures during integrated program implementation and outcomes of CVCT+CFPC uptake and LARC uptake. We model primary outcomes of cost-per-adult HIV infections averted by CVCT, unintended pregnancies averted by LARC, couple-years of protection against unintended pregnancy by LARC, and perinatal HIV infections averted by LARC. Costs and outcomes were discounted at 3% per year.
RESULTS:Integrated program costs were $3 582 186 (2015 USD), 82 231 couples received CVCT+CFPC, and 56 409 women received LARC insertions. The program averted an estimated 7165 adult HIV infections at $384 per adult HIV infection averted over a 5-year time horizon. The program also averted 62 265 unintended pregnancies and was cost-saving for measures of cost-per-unintended pregnancy averted, cost-per-couple-year of protection against unintended pregnancy, and cost-per-perinatal HIV infection averted assuming 3 years of LARC use.
CONCLUSION:Our intervention was cost-savings for CFPC outcomes and CVCT was effective and affordable in Zambia. Integrated couples-focused HIV and family planning was feasible, affordable, and leveraged HIV and unintended pregnancy prevention. |
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| AbstractList | To present the incremental cost from the payer's perspective and effectiveness of couples' family planning counseling (CFPC) with long-acting reversible contraception (LARC) access integrated with couples' voluntary HIV counseling and testing (CVCT) in Zambia. This integrated program is evaluated incremental to existing individual HIV counseling and testing and family planning services.
Implementation and modelling.
Fifty-five government health facilities in Zambia.
Patients in government health facilities.
Community health workers and personnel promoted and delivered integrated CVCT+CFPC from March 2013 to September 2015.
We report financial costs of actual expenditures during integrated program implementation and outcomes of CVCT+CFPC uptake and LARC uptake. We model primary outcomes of cost-per-: adult HIV infections averted by CVCT, unintended pregnancies averted by LARC, couple-years of protection against unintended pregnancy by LARC, and perinatal HIV infections averted by LARC. Costs and outcomes were discounted at 3% per year.
Integrated program costs were $3 582 186 (2015 USD), 82 231 couples received CVCT+CFPC, and 56 409 women received LARC insertions. The program averted an estimated 7165 adult HIV infections at $384 per adult HIV infection averted over a 5-year time horizon. The program also averted 62 265 unintended pregnancies and was cost-saving for measures of cost-per-unintended pregnancy averted, cost-per-couple-year of protection against unintended pregnancy, and cost-per-perinatal HIV infection averted assuming 3 years of LARC use.
Our intervention was cost-savings for CFPC outcomes and CVCT was effective and affordable in Zambia. Integrated couples-focused HIV and family planning was feasible, affordable, and leveraged HIV and unintended pregnancy prevention. OBJECTIVE:To present the incremental cost from the payerʼs perspective and effectiveness of couples’ family planning counseling (CFPC) with long-acting reversible contraception (LARC) access integrated with couples’ voluntary HIV counseling and testing (CVCT) in Zambia. This integrated program is evaluated incremental to existing individual HIV counseling and testing and family planning services. DESIGN:Implementation and modelling. SETTING:Fifty-five government health facilities in Zambia. SUBJECTS:Patients in government health facilities. INTERVENTION:Community health workers and personnel promoted and delivered integrated CVCT+CFPC from March 2013 to September 2015. MAIN OUTCOME MEASURES:We report financial costs of actual expenditures during integrated program implementation and outcomes of CVCT+CFPC uptake and LARC uptake. We model primary outcomes of cost-per-adult HIV infections averted by CVCT, unintended pregnancies averted by LARC, couple-years of protection against unintended pregnancy by LARC, and perinatal HIV infections averted by LARC. Costs and outcomes were discounted at 3% per year. RESULTS:Integrated program costs were $3 582 186 (2015 USD), 82 231 couples received CVCT+CFPC, and 56 409 women received LARC insertions. The program averted an estimated 7165 adult HIV infections at $384 per adult HIV infection averted over a 5-year time horizon. The program also averted 62 265 unintended pregnancies and was cost-saving for measures of cost-per-unintended pregnancy averted, cost-per-couple-year of protection against unintended pregnancy, and cost-per-perinatal HIV infection averted assuming 3 years of LARC use. CONCLUSION:Our intervention was cost-savings for CFPC outcomes and CVCT was effective and affordable in Zambia. Integrated couples-focused HIV and family planning was feasible, affordable, and leveraged HIV and unintended pregnancy prevention. To present the incremental cost from the payer's perspective and effectiveness of couples' family planning counseling (CFPC) with long-acting reversible contraception (LARC) access integrated with couples' voluntary HIV counseling and testing (CVCT) in Zambia. This integrated program is evaluated incremental to existing individual HIV counseling and testing and family planning services.OBJECTIVETo present the incremental cost from the payer's perspective and effectiveness of couples' family planning counseling (CFPC) with long-acting reversible contraception (LARC) access integrated with couples' voluntary HIV counseling and testing (CVCT) in Zambia. This integrated program is evaluated incremental to existing individual HIV counseling and testing and family planning services.Implementation and modelling.DESIGNImplementation and modelling.Fifty-five government health facilities in Zambia.SETTINGFifty-five government health facilities in Zambia.Patients in government health facilities.SUBJECTSPatients in government health facilities.Community health workers and personnel promoted and delivered integrated CVCT+CFPC from March 2013 to September 2015.INTERVENTIONCommunity health workers and personnel promoted and delivered integrated CVCT+CFPC from March 2013 to September 2015.We report financial costs of actual expenditures during integrated program implementation and outcomes of CVCT+CFPC uptake and LARC uptake. We model primary outcomes of cost-per-: adult HIV infections averted by CVCT, unintended pregnancies averted by LARC, couple-years of protection against unintended pregnancy by LARC, and perinatal HIV infections averted by LARC. Costs and outcomes were discounted at 3% per year.MAIN OUTCOME MEASURESWe report financial costs of actual expenditures during integrated program implementation and outcomes of CVCT+CFPC uptake and LARC uptake. We model primary outcomes of cost-per-: adult HIV infections averted by CVCT, unintended pregnancies averted by LARC, couple-years of protection against unintended pregnancy by LARC, and perinatal HIV infections averted by LARC. Costs and outcomes were discounted at 3% per year.Integrated program costs were $3 582 186 (2015 USD), 82 231 couples received CVCT+CFPC, and 56 409 women received LARC insertions. The program averted an estimated 7165 adult HIV infections at $384 per adult HIV infection averted over a 5-year time horizon. The program also averted 62 265 unintended pregnancies and was cost-saving for measures of cost-per-unintended pregnancy averted, cost-per-couple-year of protection against unintended pregnancy, and cost-per-perinatal HIV infection averted assuming 3 years of LARC use.RESULTSIntegrated program costs were $3 582 186 (2015 USD), 82 231 couples received CVCT+CFPC, and 56 409 women received LARC insertions. The program averted an estimated 7165 adult HIV infections at $384 per adult HIV infection averted over a 5-year time horizon. The program also averted 62 265 unintended pregnancies and was cost-saving for measures of cost-per-unintended pregnancy averted, cost-per-couple-year of protection against unintended pregnancy, and cost-per-perinatal HIV infection averted assuming 3 years of LARC use.Our intervention was cost-savings for CFPC outcomes and CVCT was effective and affordable in Zambia. Integrated couples-focused HIV and family planning was feasible, affordable, and leveraged HIV and unintended pregnancy prevention.CONCLUSIONOur intervention was cost-savings for CFPC outcomes and CVCT was effective and affordable in Zambia. Integrated couples-focused HIV and family planning was feasible, affordable, and leveraged HIV and unintended pregnancy prevention. |
| Author | Streeb, Gordon Parker, Rachel Kilembe, William Wall, Kristin M. Allen, Susan Inambao, Mubiana Sharkey, Tyronza Hunter, Ken Tichacek, Amanda Mazarire, Christine Sarkar, Supriya Hoagland, Alexandra Malama, Kalonde Vwalika, Bellington |
| AuthorAffiliation | Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health |
| AuthorAffiliation_xml | – name: Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA – name: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – name: 4. Department of Obstetrics and Gynecology, University Teaching Hospital, Lusaka, Zambia – name: 3. Department of Obstetrics and Gynecology, Ndola Central Hospital, Ndola, Zambia – name: 1. Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA 30322 – name: 2. Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA 30322 |
| Author_xml | – sequence: 1 givenname: Kristin M. surname: Wall fullname: Wall, Kristin M. organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 2 givenname: William surname: Kilembe fullname: Kilembe, William organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 3 givenname: Mubiana surname: Inambao fullname: Inambao, Mubiana organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 4 givenname: Alexandra surname: Hoagland fullname: Hoagland, Alexandra organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 5 givenname: Tyronza surname: Sharkey fullname: Sharkey, Tyronza organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 6 givenname: Kalonde surname: Malama fullname: Malama, Kalonde organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 7 givenname: Bellington surname: Vwalika fullname: Vwalika, Bellington organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 8 givenname: Rachel surname: Parker fullname: Parker, Rachel organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 9 givenname: Supriya surname: Sarkar fullname: Sarkar, Supriya organization: Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA – sequence: 10 givenname: Ken surname: Hunter fullname: Hunter, Ken organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 11 givenname: Gordon surname: Streeb fullname: Streeb, Gordon organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 12 givenname: Christine surname: Mazarire fullname: Mazarire, Christine organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 13 givenname: Amanda surname: Tichacek fullname: Tichacek, Amanda organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health – sequence: 14 givenname: Susan surname: Allen fullname: Allen, Susan organization: Rwanda Zambia HIV Research Group, Department of Pathology & Laboratory Medicine, School of Medicine and Hubert Department of Global Health |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32701577$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.eclinm.2019.04.006 10.1016/S0140-6736(08)61547-0 10.1098/rstb.2009.0137 10.1258/ijsa.2008.007234 10.1016/j.contraception.2012.10.004 10.1186/s12889-016-3424-z 10.1093/ije/dyy203 10.1097/QAI.0000000000001057 10.1016/j.contraception.2010.08.021 10.1017/S0266462313000160 10.1111/j.1728-4465.2014.00393.x 10.1186/s12913-018-3013-1 10.1093/epirev/mxq012 10.1097/QAD.0000000000000038 10.1136/sextrans-2011-050199 10.1111/sifp.12018 10.1016/j.contraception.2018.07.137 10.9745/GHSP-D-13-00116 10.1097/00002030-200303280-00012 10.1136/sextrans-2016-052743 10.1093/heapol/17.1.112 10.1097/OLQ.0b013e318176196d 10.1371/journal.pone.0030735 10.1136/jfprhc-2011-0108 10.1001/jama.1992.03490230068030 10.1186/1471-2458-9-S1-S5 10.1007/s10995-016-2014-0 10.9745/GHSP-D-15-00315 10.9745/GHSP-D-17-00065 10.1016/S0140-6736(08)60953-8 10.1080/17441692.2015.1123747 10.1016/j.contraception.2010.06.016 10.1016/j.ajog.2020.01.007 10.1371/journal.pone.0134510 10.1186/s12905-014-0158-x 10.1097/QAD.0000000000001208 10.1186/s12905-017-0382-2 10.1016/S0010-7824(03)00162-8 10.1371/journal.pone.0124476 |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Amanda Tichacek contributed to the study conception and design, revised the article critically for important intellectual content, and gave final approval of the version to be published. Alexandra Hoagland contributed to the conception and design of the study, revised the article critically for important intellectual content, and gave final approval of the version to be published. Bellington Vwalika contributed to the conception and design of the study, revised the article critically for important intellectual content, and gave final approval of the version to be published. Kristin M. Wall contributed to the analysis and interpretation of data; drafted the article and revised it critically for important intellectual content; and gave final approval of the version to be published. Supriya Sarkar contributed to the analysis and interpretation of data; revised the article critically for important intellectual content; and gave final approval of the version to be published. Tyronza Sharkey contributed to the analysis and interpretation of data; revised the article critically for important intellectual content; and gave final approval of the version to be published. Christine Mazarire contributed to the analysis and interpretation of data; revised the article critically for important intellectual content; and gave final approval of the version to be published. William Kilembe contributed to the conception and design of the study, revised the article critically for important intellectual content, and gave final approval of the version to be published. Mubiana Inambao contributed to the conception and design of the study, revised the article critically for important intellectual content, and gave final approval of the version to be published. Kalonde Malama contributed to the analysis and interpretation of data; revised the article critically for important intellectual content; and gave final approval of the version to be published. Rachel Parker contributed to the analysis and interpretation of data; revised the article critically for important intellectual content; and gave final approval of the version to be published. Ken Hunter contributed to the analysis and interpretation of data; revised the article critically for important intellectual content; and gave final approval of the version to be published. Susan Allen contributed to the study design and conception, contributed to the analysis and interpretation of data; revised the article critically for important intellectual content, and gave final approval of the version to be published. Author contributions |
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| References | Galarraga (R42-20230921) 2009; 9 Suppl 1 Shade (R48-20230921) 2013; 27 Wanyenze (R9-20230921) 2015; 15 Kelley (R26-20230921) 2016; 16 Parmar (R36-20230921) 2017; 12 Sedgh (R32-20230921) 2014; 45 Obure (R15-20230921) 2015; 10 Bellows (R53-20230921) 2017; 5 Rattan (R54-20230921) 2016; 4 Husereau (R30-20230921) 2013; 29 Malama (R61-20230921) 2020; 222 Wall (R19-20230921) 2018; 48 Sweeney (R14-20230921) 2012; 88 Khu (R27-20230921) 2013; 88 Rydzak (R35-20230921) 2008; 35 Tumlinson (R50-20230921) 2011; 83 Sharma (R16-20230921) 2016; 72 Babigumira (R45-20230921) 2012; 7 Tsui (R2-20230921) 2010; 32 Allen (R25-20230921) 2003; 17 Koontz (R34-20230921) 2003; 68 Dunkle (R41-20230921) 2008; 372 Bongaarts (R1-20230921) 2009; 364 Tibaijuka (R55-20230921) 2017; 17 Allen (R18-20230921) 1992; 268 Babigumira (R49-20230921) 2015 Di Giorgio (R47-20230921) 2018; 98 Wall (R24-20230921) 2017; 93 Duvall (R7-20230921) 2014; 2 Ngo (R52-20230921) 2017; 21 Walker (R29-20230921) 2002; 17 Hitimana (R37-20230921) 2018; 18 Bautista-Arredondo (R38-20230921) 2016; 30 Jhangri (R10-20230921) 2012; 38 Neukom (R39-20230921) 2011; 83 Sarkar (R44-20230921) 2019; 10 Wekesa (R8-20230921) 2015; 130 Haberlen (R40-20230921) 2017; 48 John (R43-20230921) 2008; 19 Dunkle (R17-20230921) 2008; 371 Lépine (R46-20230921) 2015; 10 |
| References_xml | – volume: 10 start-page: 10 year: 2019 ident: R44-20230921 article-title: Cost-effectiveness of HIV prevention interventions in Sub-Saharan Africa: a systematic review publication-title: EClinicalMedicine doi: 10.1016/j.eclinm.2019.04.006 – volume: 372 start-page: 1300 year: 2008 ident: R41-20230921 article-title: Source of new infections in generalised HIV epidemics – authors’ reply publication-title: Lancet doi: 10.1016/S0140-6736(08)61547-0 – volume: 364 start-page: 2985 year: 2009 ident: R1-20230921 article-title: Human population growth and the demographic transition publication-title: Philos Trans R Soc Lond B Biol Sci doi: 10.1098/rstb.2009.0137 – volume: 19 start-page: 406 year: 2008 ident: R43-20230921 article-title: Cost effectiveness of couple counselling to enhance infant HIV-1 prevention publication-title: Int J STD AIDS doi: 10.1258/ijsa.2008.007234 – volume: 88 start-page: 74 year: 2013 ident: R27-20230921 article-title: Fertility goal-based counseling increases contraceptive implant and IUD use in HIV-discordant couples in Rwanda and Zambia publication-title: Contraception doi: 10.1016/j.contraception.2012.10.004 – volume: 16 start-page: 744 year: 2016 ident: R26-20230921 article-title: Promotion of couples’ voluntary HIV counseling and testing: a comparison of influence networks in Rwanda and Zambia publication-title: BMC Public Health doi: 10.1186/s12889-016-3424-z – volume: 48 start-page: 217 year: 2018 ident: R19-20230921 article-title: HIV testing and counselling couples together for affordable HIV prevention in Africa publication-title: Int J Epidemiol doi: 10.1093/ije/dyy203 – volume: 72 start-page: S174 issue: (Suppl 2) year: 2016 ident: R16-20230921 article-title: Modeling the cost-effectiveness of Home-based HIV Testing and Education (HOPE) for pregnant women and their male partners in Nyanza Province, Kenya publication-title: J Acquir Immune Defic Syndr doi: 10.1097/QAI.0000000000001057 – volume: 83 start-page: 447 year: 2011 ident: R39-20230921 article-title: Dedicated providers of long-acting reversible contraception: new approach in Zambia publication-title: Contraception doi: 10.1016/j.contraception.2010.08.021 – volume: 29 start-page: 117 year: 2013 ident: R30-20230921 article-title: Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement publication-title: Int J Technol Assess Healthcare doi: 10.1017/S0266462313000160 – volume: 45 start-page: 301 year: 2014 ident: R32-20230921 article-title: Intended and unintended pregnancies worldwide in 2012 and recent trends publication-title: Stud Family Plan doi: 10.1111/j.1728-4465.2014.00393.x – volume: 18 start-page: 262 year: 2018 ident: R37-20230921 article-title: Cost of antenatal care for the health sector and for households in Rwanda publication-title: BMC Health Serv Res doi: 10.1186/s12913-018-3013-1 – volume: 32 start-page: 152 year: 2010 ident: R2-20230921 article-title: Family planning and the burden of unintended pregnancies publication-title: Epidemiol Rev doi: 10.1093/epirev/mxq012 – volume: 27 start-page: S87 issue: (Suppl 1) year: 2013 ident: R48-20230921 article-title: Cost, cost-efficiency and cost-effectiveness of integrated family planning and HIV services publication-title: AIDS (London, England) doi: 10.1097/QAD.0000000000000038 – volume: 88 start-page: 85 year: 2012 ident: R14-20230921 article-title: Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience publication-title: Sex Transm Infect doi: 10.1136/sextrans-2011-050199 – volume: 48 start-page: 153 year: 2017 ident: R40-20230921 article-title: Integration of family planning services into hiv care and treatment services: a systematic review publication-title: Stud Fam Plann doi: 10.1111/sifp.12018 – volume: 98 start-page: 396 year: 2018 ident: R47-20230921 article-title: Is contraceptive self-injection cost-effective compared to contraceptive injections from facility-based health workers? Evidence from Uganda publication-title: Contraception doi: 10.1016/j.contraception.2018.07.137 – volume: 2 start-page: 72 year: 2014 ident: R7-20230921 article-title: Scaling up delivery of contraceptive implants in sub-Saharan Africa: operational experiences of Marie Stopes International publication-title: Glob Health Sci Pract doi: 10.9745/GHSP-D-13-00116 – volume: 17 start-page: 733 year: 2003 ident: R25-20230921 article-title: Sexual behavior of HIV discordant couples after HIV counseling and testing publication-title: AIDS doi: 10.1097/00002030-200303280-00012 – volume: 93 start-page: 259 year: 2017 ident: R24-20230921 article-title: Sustained effect of couples’ HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples publication-title: Sex Transm Infect doi: 10.1136/sextrans-2016-052743 – volume: 17 start-page: 112 year: 2002 ident: R29-20230921 article-title: Allowing for differential timing in cost analyses: discounting and annualization publication-title: Health Policy Plan doi: 10.1093/heapol/17.1.112 – volume: 35 start-page: 775 year: 2008 ident: R35-20230921 article-title: Cost-effectiveness of rapid point-of-care prenatal syphilis screening in sub-Saharan Africa publication-title: Sex Transm Dis doi: 10.1097/OLQ.0b013e318176196d – volume: 7 start-page: e30735 year: 2012 ident: R45-20230921 article-title: Potential cost-effectiveness of universal access to modern contraceptives in Uganda publication-title: PLoS One doi: 10.1371/journal.pone.0030735 – year: 2015 ident: R49-20230921 article-title: Surgery for family planning, abortion, and postabortion care publication-title: Essential surgery: disease control priorities – volume: 38 start-page: 23 year: 2012 ident: R10-20230921 article-title: Unmet need for effective family planning in HIV-infected individuals: results from a survey in rural Uganda publication-title: J Fam Plann Reprod Health Care doi: 10.1136/jfprhc-2011-0108 – volume: 268 start-page: 3338 year: 1992 ident: R18-20230921 article-title: Confidential HIV testing and condom promotion in Africa. Impact on HIV and gonorrhea rates publication-title: JAMA doi: 10.1001/jama.1992.03490230068030 – volume: 9 Suppl 1 start-page: S5 year: 2009 ident: R42-20230921 article-title: HIV prevention cost-effectiveness: a systematic review publication-title: BMC Public Health doi: 10.1186/1471-2458-9-S1-S5 – volume: 21 start-page: 1734 year: 2017 ident: R52-20230921 article-title: Evaluating a LARC Expansion Program in 14 sub-Saharan African Countries: a service delivery model for meeting FP2020 goals publication-title: Matern Child Health J doi: 10.1007/s10995-016-2014-0 – volume: 4 start-page: S5 issue: (Suppl 2) year: 2016 ident: R54-20230921 article-title: Rapid contraceptive uptake and changing method mix with high use of long-acting reversible contraceptives in crisis-affected populations in Chad and the Democratic Republic of the Congo publication-title: Glob Health Sci Pract doi: 10.9745/GHSP-D-15-00315 – volume: 5 start-page: 446 year: 2017 ident: R53-20230921 article-title: Increasing contraceptive access for hard-to-reach populations with vouchers and social franchising in Uganda publication-title: Glob Health Sci Pract doi: 10.9745/GHSP-D-17-00065 – volume: 371 start-page: 2183 year: 2008 ident: R17-20230921 article-title: New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data publication-title: Lancet doi: 10.1016/S0140-6736(08)60953-8 – volume: 12 start-page: 236 year: 2017 ident: R36-20230921 article-title: Cost of abortions in Zambia: a comparison of safe abortion and post abortion care publication-title: Global Public Health doi: 10.1080/17441692.2015.1123747 – volume: 83 start-page: 88 year: 2011 ident: R50-20230921 article-title: The promise of affordable implants: is cost recovery possible in Kenya? publication-title: Contraception doi: 10.1016/j.contraception.2010.06.016 – volume: 222 start-page: S915.e1 year: 2020 ident: R61-20230921 article-title: A couple-focused, integrated unplanned pregnancy and HIV prevention program in urban and rural Zambia publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2020.01.007 – volume: 10 start-page: e0134510 year: 2015 ident: R46-20230921 article-title: Cost-effectiveness of introducing the SILCS diaphragm in South Africa publication-title: PLoS One doi: 10.1371/journal.pone.0134510 – volume: 15 start-page: 5 year: 2015 ident: R9-20230921 article-title: Fertility desires and unmet need for family planning among HIV infected individuals in two HIV clinics with differing models of family planning service delivery publication-title: BMC women's health doi: 10.1186/s12905-014-0158-x – volume: 30 start-page: 2495 year: 2016 ident: R38-20230921 article-title: Costs along the service cascades for HIV testing and counselling and prevention of mother-to-child transmission publication-title: AIDS (London, England) doi: 10.1097/QAD.0000000000001208 – volume: 17 start-page: 25 year: 2017 ident: R55-20230921 article-title: Factors influencing use of long-acting versus short-acting contraceptive methods among reproductive-age women in a resource-limited setting publication-title: BMC Women's health doi: 10.1186/s12905-017-0382-2 – volume: 130 start-page: E31 issue: (Suppl 3) year: 2015 ident: R8-20230921 article-title: Contraceptive need and use among individuals with HIV/AIDS living in the slums of Nairobi, Kenya publication-title: Int J Gynaecol Obstet – volume: 68 start-page: 345 year: 2003 ident: R34-20230921 article-title: Treating incomplete abortion in El Salvador: cost savings with manual vacuum aspiration publication-title: Contraception doi: 10.1016/S0010-7824(03)00162-8 – volume: 10 start-page: e0124476 year: 2015 ident: R15-20230921 article-title: The costs of delivering integrated HIV and sexual reproductive health services in limited resource settings publication-title: PLoS One doi: 10.1371/journal.pone.0124476 |
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| Snippet | OBJECTIVE:To present the incremental cost from the payerʼs perspective and effectiveness of couples’ family planning counseling (CFPC) with long-acting... To present the incremental cost from the payer's perspective and effectiveness of couples' family planning counseling (CFPC) with long-acting reversible... |
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| SubjectTerms | Adult Cost-Benefit Analysis Counseling Delivery of Health Care, Integrated - economics Family Characteristics Family Planning Services - economics Female HIV Infections - prevention & control Humans Male Pregnancy Program Development Program Evaluation Young Adult Zambia |
| Title | Cost-effectiveness of integrated HIV prevention and family planning services for Zambian couples |
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