The value of contraception to prevent perinatal HIV transmission

HW Reynolds, B Janowitz, R Homan… - Sexually transmitted …, 2006 - journals.lww.com
HW Reynolds, B Janowitz, R Homan, L Johnson
Sexually transmitted diseases, 2006journals.lww.com
Objective: The objective of this study was to highlight the value of preventing unintended
pregnancies among HIV-infected women as a strategy to prevent perinatal HIV transmission.
Goal: The goal of this study was to assess the cost-effectiveness of family planning programs
to avert HIV-positive births with the current programmatic emphasis: prenatal care services
that provide and promote nevirapine for prevention of mother-to-child transmission of HIV.
Study Design: Cost-effectiveness analyses were conducted from the health system …
Objective:
The objective of this study was to highlight the value of preventing unintended pregnancies among HIV-infected women as a strategy to prevent perinatal HIV transmission.
Goal:
The goal of this study was to assess the cost-effectiveness of family planning programs to avert HIV-positive births with the current programmatic emphasis: prenatal care services that provide and promote nevirapine for prevention of mother-to-child transmission of HIV.
Study Design:
Cost-effectiveness analyses were conducted from the health system perspective during 1 year with a hypothetical sub-Saharan African population. Expected program costs were combined with number of HIV-positive births averted for each strategy.
Results:
At the same level of expenditure, the contraceptive strategy averts 28.6% more HIV-positive births than nevirapine for prevention of mother-to-child transmission of HIV.
Conclusions:
Increasing contraceptive use among nonusers of contraception who do not want to get pregnant is cost-effective and is an equally important strategy to prevent perinatal transmission as prenatal care programs that provide and promote nevirapine to HIV-infected mothers.
Lippincott Williams & Wilkins