Table 4 Cost effectiveness outputs comparing continuation of the current KP programme and discontinuation of the KP programme (All costs/Disability adjusted life years (DALYs) are discounted at 3% per year, over a 50 year time horizon in the context of 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) | 165 (160, 169) |
Difference in overall costs | −8.1 (−10.0, −6.3) | |
ART costs | 40 (38, 42) | 45 (43, 47) |
Difference in ART costs | −4.8 (−5.6, −3.9) | |
Testing costs | 17 (16, 18) | 18 (16, 19) |
Difference in testing costs | −0.5 (−0.8, −0.2) | |
Cost of visiting a SW program | 4 (4, 4) | 0 |
Different in cost of visiting a SW program | 4 (4, 4) | |
Testing costs amongst SW | 0.02 (0.02, 0.02) | 0 |
Difference in testing costs amongst SW | 0.02 (0.02, 0.02) | |
DALYs | 1786127 (1768200, 1804055) | 1802332 (1782871, 1821792) |
Difference in DALYs compared to KP | −16204 (−20912, −11497) | |
Net DALYs (DALYs + Costs/$500) | 2099035 (2076774, 2121295) | 2131488 (2106673, 2156301) |
Difference in Net DALYs | −32453 (−39899, −25007) |