Cost-Effectiveness Analysis of Hospitalization and Home-Based Care Strategies for People Living with HIV/AIDS: The Case of Zimbabwe

Senelani D Hove-Musekwa, Farai Nyabadza, Hermane Mambili-Mamboundou, Christinah Chiyaka, Zindoga Mukandavire

Research output: Contribution to journalArticle

1 Downloads (Pure)

Abstract

The model of care of people living with HIV/AIDS (PLWHA) has shifted from hospital care to community home-based care (CHBC) because of shortage of space in hospitals and lack of resources. We evaluate the costs and benefits of home-based care and other HIV/AIDS intervention strategies in Zimbabwe, using an interdisciplinary approach which weaves together the techniques of an epidemic transmission model and economic evaluation concepts. The intervention strategies considered are voluntary counselling and testing (VCT), VCT combined with hospitalization (H), VCT combined with CHBC, and all the interventions implemented concurrently. The results of the study indicate that implementing all the strategies concurrently is the most cost-effective, a result which also agrees with the epidemiological model. Our results also show that the effectiveness of a strategy in the epidemiological model does not necessarily imply cost-effectiveness of the strategy and behaviour change, modelled by the parameters p and m, that accompanied the strategies, influencing both the cost-effectiveness of an intervention strategy and dynamics of the epidemic. This study shows that interdisciplinary collaborations can help in improving the accuracy of predictions of the course and cost of the epidemic and help policy makers in implementing the correct strategies.

Original languageEnglish
Article number836439
Number of pages13
JournalInternational scholarly research notices
Volume2014
DOIs
Publication statusPublished - 28 Sep 2014
Externally publishedYes

Fingerprint

Zimbabwe
Home Care Services
Cost-Benefit Analysis
Acquired Immunodeficiency Syndrome
Hospitalization
HIV
Counseling
Interdisciplinary Studies
Costs and Cost Analysis
Administrative Personnel

Bibliographical note

Copyright © 2014 Senelani D. Hove-Musekwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

  • Journal Article

Cite this

Cost-Effectiveness Analysis of Hospitalization and Home-Based Care Strategies for People Living with HIV/AIDS: The Case of Zimbabwe. / Hove-Musekwa, Senelani D; Nyabadza, Farai; Mambili-Mamboundou, Hermane; Chiyaka, Christinah; Mukandavire, Zindoga.

In: International scholarly research notices, Vol. 2014, 836439, 28.09.2014.

Research output: Contribution to journalArticle

@article{9f0ef628b9d24210995923dd7bdd54fd,
title = "Cost-Effectiveness Analysis of Hospitalization and Home-Based Care Strategies for People Living with HIV/AIDS:: The Case of Zimbabwe",
abstract = "The model of care of people living with HIV/AIDS (PLWHA) has shifted from hospital care to community home-based care (CHBC) because of shortage of space in hospitals and lack of resources. We evaluate the costs and benefits of home-based care and other HIV/AIDS intervention strategies in Zimbabwe, using an interdisciplinary approach which weaves together the techniques of an epidemic transmission model and economic evaluation concepts. The intervention strategies considered are voluntary counselling and testing (VCT), VCT combined with hospitalization (H), VCT combined with CHBC, and all the interventions implemented concurrently. The results of the study indicate that implementing all the strategies concurrently is the most cost-effective, a result which also agrees with the epidemiological model. Our results also show that the effectiveness of a strategy in the epidemiological model does not necessarily imply cost-effectiveness of the strategy and behaviour change, modelled by the parameters p and m, that accompanied the strategies, influencing both the cost-effectiveness of an intervention strategy and dynamics of the epidemic. This study shows that interdisciplinary collaborations can help in improving the accuracy of predictions of the course and cost of the epidemic and help policy makers in implementing the correct strategies.",
keywords = "Journal Article",
author = "Hove-Musekwa, {Senelani D} and Farai Nyabadza and Hermane Mambili-Mamboundou and Christinah Chiyaka and Zindoga Mukandavire",
note = "Copyright {\circledC} 2014 Senelani D. Hove-Musekwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.",
year = "2014",
month = "9",
day = "28",
doi = "10.1155/2014/836439",
language = "English",
volume = "2014",
journal = "International scholarly research notices",
issn = "2356-7872",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Cost-Effectiveness Analysis of Hospitalization and Home-Based Care Strategies for People Living with HIV/AIDS:

T2 - The Case of Zimbabwe

AU - Hove-Musekwa, Senelani D

AU - Nyabadza, Farai

AU - Mambili-Mamboundou, Hermane

AU - Chiyaka, Christinah

AU - Mukandavire, Zindoga

N1 - Copyright © 2014 Senelani D. Hove-Musekwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PY - 2014/9/28

Y1 - 2014/9/28

N2 - The model of care of people living with HIV/AIDS (PLWHA) has shifted from hospital care to community home-based care (CHBC) because of shortage of space in hospitals and lack of resources. We evaluate the costs and benefits of home-based care and other HIV/AIDS intervention strategies in Zimbabwe, using an interdisciplinary approach which weaves together the techniques of an epidemic transmission model and economic evaluation concepts. The intervention strategies considered are voluntary counselling and testing (VCT), VCT combined with hospitalization (H), VCT combined with CHBC, and all the interventions implemented concurrently. The results of the study indicate that implementing all the strategies concurrently is the most cost-effective, a result which also agrees with the epidemiological model. Our results also show that the effectiveness of a strategy in the epidemiological model does not necessarily imply cost-effectiveness of the strategy and behaviour change, modelled by the parameters p and m, that accompanied the strategies, influencing both the cost-effectiveness of an intervention strategy and dynamics of the epidemic. This study shows that interdisciplinary collaborations can help in improving the accuracy of predictions of the course and cost of the epidemic and help policy makers in implementing the correct strategies.

AB - The model of care of people living with HIV/AIDS (PLWHA) has shifted from hospital care to community home-based care (CHBC) because of shortage of space in hospitals and lack of resources. We evaluate the costs and benefits of home-based care and other HIV/AIDS intervention strategies in Zimbabwe, using an interdisciplinary approach which weaves together the techniques of an epidemic transmission model and economic evaluation concepts. The intervention strategies considered are voluntary counselling and testing (VCT), VCT combined with hospitalization (H), VCT combined with CHBC, and all the interventions implemented concurrently. The results of the study indicate that implementing all the strategies concurrently is the most cost-effective, a result which also agrees with the epidemiological model. Our results also show that the effectiveness of a strategy in the epidemiological model does not necessarily imply cost-effectiveness of the strategy and behaviour change, modelled by the parameters p and m, that accompanied the strategies, influencing both the cost-effectiveness of an intervention strategy and dynamics of the epidemic. This study shows that interdisciplinary collaborations can help in improving the accuracy of predictions of the course and cost of the epidemic and help policy makers in implementing the correct strategies.

KW - Journal Article

U2 - 10.1155/2014/836439

DO - 10.1155/2014/836439

M3 - Article

VL - 2014

JO - International scholarly research notices

JF - International scholarly research notices

SN - 2356-7872

M1 - 836439

ER -