Table 3 Cost effectiveness outputs comparing KP and KP + AMETHIST (All costs/Disability adjusted life years (DALYs) are discounted at 3% per year, over a 50 year time horizon in the context of 10 million adults)

From: Impact and cost-effectiveness of the community-led AMETHIST intervention among female sex workers in Zimbabwe

 

Continuation of KP from 2024 onwards

KP + AMETHIST from 2024 onwards

Costs/DALYs are given per year, over a 50 year time Horizon

Mean across runs (95% CI)

Mean across runs (95% CI)

Overall costs in US$ millions assuming $132/year for KP and $155/year AMETHIST (based on costs collected in AMETHIST)

156 (153, 160)

154 (151, 158)

Difference in overall costs

 

−1.9 (−2.6, −1.1)

ART costs

40 (38, 42)

38 (37, 40)

Difference in ART costs

 

−1.3 (−1.6, −1.1)

Testing costs

17 (16, 18)

17 (16, 19)

Difference in testing costs

 

0.1 (0.0, 0.3)

Other programme costs

99 (97, 102)

99 (96, 101)

Difference in other programme costs

 

−0.7 (−1.1, −0.2)

Testing costs amongst SW

0.02 (0.02, 0.02)

0.14 (0.12, 0.17)

Difference in testing costs amongst SW

 

0.12 (0.11, 0.14)

DALYs

1786127 (1768200, 1804055)

1776155 (1758323, 1793986)

Difference in DALYs compared to KP

 

−9973 (−13064, −6882)

Net DALYs (DALYs + Costs/$500)

2099035 (2076774, 2121295)

2085317 (2062869, 2107766)

Difference in Net DALYs

 

−13717 (−17316, −10119)

  1. Bold: key results.