Outputs, cost and efficiency of public sector centres for prevention of mother to child transmission of HIV in Andhra Pradesh, India.
Outputs, cost and efficiency of public sector centres for prevention of mother to child transmission of HIV in Andhra Pradesh, India.
复制标题
印度安得拉邦公共部门预防艾滋病毒母婴传播中心的产出、成本和效率。
DOI：
10.1186/1472-6963-8-26
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发表时间：
2008-01-31
影响因子：
2.8
通讯作者：
Dandona, Rakhi
中科院分区：
文献类型：
--
作者：
Dandona, Lalit;Kumar, Sg Prem;Ramesh, Yk;Rao, M. Chalapathi;Marseille, Elliot;Kahn, James G.;Dandona, Rakhi
预防母婴传播是控制艾滋病毒工作的重要组成部分。在印度，预防母婴传播服务主要由政府公立医院提供。关于在印度提供预防母婴传播服务的成本和效率的系统数据尚不容易获得，无法用于进一步规划。在印度南部安得拉邦的16个抽样预防母婴传播中心，使用标准化方法收集了成本和产出数据。对所提供的服务进行了分析，并评估了服务单位成本与规模的关系。在2005-2006财政年度，125 073名孕妇在16个中心接受了预防母婴传播服务（范围为2 939至20 896人，中位数为5 679人）。艾滋病病毒检测总阳性率为1.67%。在总经济成本中，主要的组成部分是人员（47.3%）和经常物品（31.7%）。在16个预防母婴传播中心，每位接受艾滋病毒检测后咨询的孕妇的平均经济成本为98.9印度卢比（2.23美元），从71.4印度卢比（1.61美元）到189.9印度卢比（4.29美元）不等，是前者的2.7倍。接受奈韦拉平治疗的每对母婴的经济成本差异较大，16个中心的经济成本为41倍，从4，354印度卢比（98美元）到179，175印度卢比（4，047美元）不等，平均为10，210印度卢比（231美元），在孕妇艾滋病毒流行率和服务总量均较低的一些中心，单位成本非常高。规模有一个显着的负相关的单位成本，每艾滋病毒检测后咨询孕妇和每母婴对谁收到奈韦拉平。此外，孕妇中的艾滋病毒感染率与接受奈韦拉平的每对母婴单位成本呈显著负相关。虽然预防母婴传播中心之间的差异不大，但每个接受艾滋病毒检测后咨询的孕妇的单位成本，每个接受奈韦拉平的母婴对的单位成本超过40倍。一些中心接受奈韦拉平治疗的每对母婴的单位成本极高，这表明印度最近开始采用的将预防母婴传播服务与自愿咨询和检测服务相结合的新方法可能会提高效率。
Prevention of mother to child transmission (PMTCT) is an important part of the effort to control HIV. PMTCT services are mostly provided at public sector government hospitals in India. Systematic data on the cost and efficiency of providing PMTCT services in India are not available readily for further planning. Cost and output data were collected at 16 sampled PMTCT centres in the south Indian state of Andhra Pradesh using standardized methods. The services provided were analysed, and the relation of unit cost of services with scale was assessed. In the 2005–2006 fiscal year, 125,073 pregnant women received PMTCT services at the 16 centres (range 2,939 to 20,896, median 5,679). The overall HIV positive rate among those tested was 1.67%. Of the total economic cost, the major components were personnel (47.3%) and recurrent goods (31.7%). For the 16 PMTCT centres, the average economic cost per post-HIV-test counselled pregnant woman was Indian Rupees (INR) 98.9 (US$ 2.23), ranging 2.7-fold from INR 71.4 (US$ 1.61) to INR 189.9 (US$ 4.29). The economic cost per mother-neonate pair who received nevirapine had a higher variation, ranging 41-fold for the 16 centres from INR 4,354 (US$ 98) to INR 179,175 (US$ 4,047), average INR 10,210 (US$ 231), with very high unit cost at some centres where HIV prevalence among pregnant women and the total volume of services were both low. Scale had a significant inverse relation with both of the unit costs, per post-HIV-test counselled pregnant woman and per mother-neonate pair who received nevirapine. In addition, HIV prevalence among pregnant women had a significant inverse relation with unit cost per mother-neonate pair who received nevirapine. Although the variation between PMTCT centres for unit cost per post-HIV-test counselled pregnant woman was modest that per mother-neonate pair receiving nevirapine was over 40-fold. The extremely high unit cost for each mother-neonate pair receiving nevirapine at some centres suggests that the new approach of combining PMTCT services with voluntary counselling and testing services that has recently been started in India could potentially offer better efficiency.
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影响因子：
9.3
作者：
Dandona, Lalit;Lakshmi, Vemu;Dandona, Rakhi
通讯作者：
Dandona, Rakhi
影响因子：
168.9
作者：
Marseille, E;Kahn, JG;Jackson, JB
通讯作者：
Jackson, JB
DOI：
10.1097/00126334-200008010-00012
发表时间：
2000-08-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Stringer, JSA;Rouse, DJ;Stinnett, AA
通讯作者：
Stinnett, AA
影响因子：
2.8
作者：
Marseille E;Dandona L;Marshall N;Gaist P;Bautista-Arredondo S;Rollins B;Bertozzi SM;Coovadia J;Saba J;Lioznov D;Du Plessis JA;Krupitsky E;Stanley N;Over M;Peryshkina A;Kumar SG;Muyingo S;Pitter C;Lundberg M;Kahn JG
通讯作者：
Kahn JG
影响因子：
3.8
作者：
Sweat, MD;O'Reilly, KR;de Zoysa, I
通讯作者：
de Zoysa, I