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Prioritizing HIV/AIDS prevention strategies in Bandung, Indonesia: A cost analysis of three different HIV/AIDS interventions

Published on Aug 15, 2019in PLOS ONE2.776
路 DOI :10.1371/journal.pone.0221078
Inge de Bresser , Toine E. P. Remers + 3 AuthorsRob Baltussen40
Estimated H-index: 40
Abstract
  • References (12)
  • Citations (0)
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References12
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#1Adiatma Y. M. Siregar (UNPAD: Padjadjaran University)H-Index: 5
#2Pipit Pitriyan (UNPAD: Padjadjaran University)H-Index: 2
Last. Rudi Wisaksana (UNPAD: Padjadjaran University)H-Index: 11
view all 3 authors...
Aim: this study reported various factors associated with a higher probability of HIV patients drop out, and potential productivity loss due to HIV patients drop out. Methods: we analyzed data of 658 HIV patients from a database in a main referral hospital in Bandung city, West Java, Indonesia from 2007 to 2013. First, we utilized probit regression analysis and included, among others, the following variables: patients鈥 status (active or drop out), CD4 cell count, TB and opportunistic infection (O...
1 Citations
#1Eveline J.M. Verstraaten (Radboud University Nijmegen)H-Index: 1
#2Fenna M.M. Beeren (Radboud University Nijmegen)H-Index: 1
Last. Rob Baltussen (Radboud University Nijmegen)H-Index: 40
view all 7 authors...
1 Citations
#1Adiatma Y. M. Siregar (UNPAD: Padjadjaran University)H-Index: 5
#2Noor Tromp (Radboud University Nijmegen)H-Index: 9
Last. Rob Baltussen (Radboud University Nijmegen)H-Index: 40
view all 7 authors...
Abstract Background We report an economic analysis of Human Immunodeficiency Virus (HIV) care and treatment in Indonesia to assess the options and limitations of costs reduction, improving access, and scaling up services. Methods We calculated the cost of providing HIV care and treatment in a main referral hospital in West Java, Indonesia from 2008 to 2010, differentiated by initiation of treatment at different CD4 cell count levels (0鈥50, 50鈥100, 100鈥150, 150鈥200, and >200 cells/mm 3 ); time of...
5 CitationsSource
#1Noor Tromp (UNPAD: Padjadjaran University)H-Index: 9
#2Rozar Prawiranegara (UNPAD: Padjadjaran University)H-Index: 3
Last. Rob Baltussen (UNPAD: Padjadjaran University)H-Index: 40
view all 6 authors...
BACKGROUND: Indonesia has insufficient resources to adequately respond to the HIV/AIDS epidemic, and thus faces a great challenge in prioritizing interventions. In many countries, such priority setting processes are typically ad hoc and not transparent leading to unfair decisions. Here, we evaluated the priority setting process in HIV/AIDS control in West Java province against the four conditions of the accountability for reasonableness (A4R) framework: relevance, publicity, appeals and revision...
15 CitationsSource
#1N. TrompH-Index: 1
2 Citations
#1Noor Tromp (Radboud University Nijmegen Medical Centre)H-Index: 9
Last. Rob Baltussen (Radboud University Nijmegen Medical Centre)H-Index: 40
view all 7 authors...
Aim : to evaluate the costs-effectiveness of scaling up community-based VCT in West-Java. Methods : the Asian epidemic model (AEM) and resource needs model (RNM) were used to calculate incremental costs per HIV infection averted and per disability-adjusted life years saved (DALYs). Locally monitored demographic, epidemiological behavior and cost data were used as model input. Results : scaling up community-based VCT in West-Java will reduce the overall population prevalence by 36% in 2030 and co...
9 Citations
#1Justine Hsu (Lond: University of London)H-Index: 10
#2Cyprien Zinsou (Lond: University of London)H-Index: 5
Last. Dirk H Mueller (Lond: University of London)H-Index: 11
view all 6 authors...
: BACKGROUND Behavioural interventions have been widely integrated in HIV/AIDS social marketing prevention strategies and are considered valuable in settings with high levels of risk behaviours and low levels of HIV/AIDS awareness. Despite their widespread application, there is a lack of economic evaluations comparing different behaviour change communication methods. This paper analyses the costs to increase awareness and the cost-effectiveness to influence behaviour change for five intervention...
12 CitationsSource
#1J.J.G. Wammes (UNPAD: Padjadjaran University)H-Index: 6
#2Adiatma Y. M. Siregar (UNPAD: Padjadjaran University)H-Index: 5
Last. Rob Baltussen (Radboud University Nijmegen Medical Centre)H-Index: 40
view all 7 authors...
Abstract Background Indonesia faces an HIV epidemic that is in rapid transition. Injecting drug users (IDUs) are among the most heavily affected risk populations, with estimated prevalence of HIV reaching 50% or more in most parts of the country. Although Indonesia started opening methadone clinics in 2003, coverage remains low. Methods We used the Asian Epidemic Model and Resource Needs Model to evaluate the long-term population-level preventive impact of expanding Methadone Maintenance Therapy...
20 CitationsSource
#1Adiatma Y. M. Siregar (UNPAD: Padjadjaran University)H-Index: 5
#2Dindin KomarudinH-Index: 4
Last. Rob Baltussen (Radboud University Nijmegen)H-Index: 40
view all 5 authors...
Summary Objective To evaluate costs and outcomes of voluntary counselling and testing (VCT) service delivery models in urban Indonesia. Methods We collected primary data on utilization, costs and outcomes of VCT services in a hospital clinic (568 clients), HIV community clinic (28 clients), sexually transmitted infection (STI) community clinic (784 clients) and prison clinic (574 clients) in Bandung, Indonesia, in the period January 2008鈥揂pril 2009. Results The hospital clinic diagnosed the high...
14 CitationsSource
#1Irvan Afriandi (UNPAD: Padjadjaran University)H-Index: 1
#2Adiatma Y.M. Siregar (UNPAD: Padjadjaran University)H-Index: 1
Last. Rob Baltussen (Radboud University Nijmegen)H-Index: 40
view all 7 authors...
Objective To assess the cost of hospital-based methadone maintenance treatment (MMT) for injecting drug users (IDUs) in Bandung, Indonesia; to address concerns of financial sustainability at the hospital level and financial accessibility and economic attractiveness at the health care policy level.Methods In a 1 year observation period in 2006-2007, MMT service delivery costs were estimated on the basis of a micro-costing approach. Patient costs were estimated on the basis of a survey among 48 me...
16 CitationsSource
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