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)

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)

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)

  1. Bold: key results.