Cost and cost-effectiveness analysis of pre-exposure prophylaxis among men who have sex with men in two hospitals in Thailand

Journal of the International AIDS Society
Chutima SuraratdechaMichael Martin

Abstract

In 2014, the Government of Thailand recommended pre-exposure prophylaxis (PrEP) as an additional HIV prevention programme within Thailand's National Guidelines on HIV/AIDS Treatment Prevention. However, to date implementation and uptake of PrEP programmes have been limited, and evidence on the costs and the epidemiological and economic impact is not available. We estimated the costs associated with PrEP provision among men having sex with men (MSM) participating in a facility-based, prospective observational cohort study: the Test, Treat and Prevent HIV Programme in Thailand. We created a suite of scenarios to estimate the cost-effectiveness of PrEP and sensitivity of the results to the model input parameters, including PrEP programme effectiveness, PrEP uptake among high-risk and low-risk MSM, baseline and future antiretroviral therapy (ART) coverage, condom use, unit cost of delivering PrEP, and the discount rate. Drug costs accounted for 82.5% of the total cost of providing PrEP, followed by lab testing (8.2%) and personnel costs (7.8%). The estimated costs of providing the PrEP package in accordance with the national recommendation ranges from US$223 to US$311 per person per year. Based on our modelling results, we estimate...Continue Reading

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Citations

May 17, 2019·AIDS Patient Care and STDs·Sarit A Golub, Julie E Myers
Sep 8, 2019·AIDS Research and Therapy·Camilla MucciniNittaya Phanuphak
Jul 24, 2018·Journal of the International AIDS Society·R Cameron WolfRose Wilcher
May 26, 2020·International Journal of STD & AIDS·Sarika PattanasinMichael C Thigpen
Feb 29, 2020·MMWR. Morbidity and Mortality Weekly Report·Gaston DjomandSasha Mital

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Methods Mentioned

BETA
circumcision
blood draw
nucleic acid amplification

Software Mentioned

Optima HIV
Optima

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