Cost-effectiveness of HIV self-testing strategy in men who have sex with men
10.3760/cma.j.cn112338-20191231-00926
- VernacularTitle:HIV自检模式在男男性行为者中的成本效果分析
- Author:
Shanzi HUANG
1
;
Wencan DAI
;
Xiaofeng LI
;
Xiaohui JIANG
;
Weiming TANG
;
Yi ZHOU
Author Information
1. 珠海市疾病预防控制中心艾滋病防制所 519060
- Keywords:
Men who have sex with men;
HIV self-testing;
HIV rapid diagnostics testing;
Cost-effectiveness analysis;
Community-based organization
- From:
Chinese Journal of Epidemiology
2020;41(5):753-757
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the cost-effectiveness and willingness-to-pay of HIV self-testing (HIVST) strategy and facility-based HIV rapid testing (HIV-RDT) strategy in men who have sex with men (MSM) in Zhuhai, and provide scientific evidence for making health policy.Methods:From the perspective of health service providers, the data of the costs and effectiveness of two HIV testing strategies in MSM in Zhuhai during January-September 2019 were collected, and a decision-tree model of cohort of 10 000 MSM was constructed by using software TreeAge Pro 2019 to measure the cost-effectiveness ratio (CER) and the incremental cost-effectiveness ratio (ICER). One-way and probability sensitivity analysis was performed for the uncertainty of the parameters in the model, and the cost-effectiveness and affordability curve was introduced to estimate the affordability of two strategies.Results:After the mobilization of MSM community-based organization through Internet and social media, 2 303 MSM had HIVST, in whom 33 were HIV positive (1.7%), and 816 MSM received HIV-RDT, in whom 35 were HIV positive (4.3%). The cost for per screening was 60.45 yuan and 240.43 yuan (RMB) respectively, and the cost for per positive screening was 4 218 yuan and 5 606 yuan (RMB) rerspectively. The results of the decision-tree model showed that the mean cost for a MSM using HIVST and using HIV-RDT was 44.67 yuan and 148.42 yuan (RMB) respectively, and the ICER was negative. HIVST strategy was a more cost-effective option when the willing-to-pay was below 6 528 yuan (RMB) for per positive screening, and HIV-RDT strategy was a more cost-effective option when the investment was higher than 6 528 yuan (RMB).Conclusion:HIVST strategy in Zhuhai is a public health project with economic value, and policy makers should strengthen the support to MSM community-based organization to promote the application of HIVST among MSM.
