title: The global impact of scaling up HIV/AIDS prevention programs in low- and middle-income countries.
abstract: A strong, global commitment to expanded prevention programs targeted at sexual transmission and transmission among injecting drug users, started now, could avert 28 million new HIV infections between 2005 and 2015. This figure is more than half of the new infections that might otherwise occur during that period in 125 low- and middle-income countries. Although preventing these new infections would require investing about U.S.$122 billion over this period, it would reduce future needs for treatment and care. Our analysis suggests that it will cost about U.S.$3900 to prevent each new infection, but that this will produce a savings of U.S.$4700 in forgone treatment and care costs. Thus, greater spending on prevention now would not only prevent more than half the new infections that would occur from 2005 to 2015 but would actually produce a net financial saving as future costs for treatment and care are averted.
authors.affiliation: Futures Group/Constella, Glastonbury, CT 06033, USA.
authors.forename: John
authors.initials: J
authors.lastname: Stover
authors.forename: Stefano
authors.initials: S
authors.lastname: Bertozzi
authors.forename: Juan-Pablo
authors.initials: JP
authors.lastname: Gutierrez
authors.forename: Neff
authors.initials: N
authors.lastname: Walker
authors.forename: Karen A
authors.initials: KA
authors.lastname: Stanecki
authors.forename: Robert
authors.initials: R
authors.lastname: Greener
authors.forename: Eleanor
authors.initials: E
authors.lastname: Gouws
authors.forename: Catherine
authors.initials: C
authors.lastname: Hankins
authors.forename: Geoff P
authors.initials: GP
authors.lastname: Garnett
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Salomon
authors.forename: J Ties
authors.initials: JT
authors.lastname: Boerma
authors.forename: Paul
authors.initials: P
authors.lastname: De Lay
authors.forename: Peter D
authors.initials: PD
authors.lastname: Ghys
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics / Q000517:prevention & control*; D000328:Adult; D002648:Child; D017046:Cost Savings; D003906:Developing Countries / Q000191:economics; D005260:Female; D014943:Global Health; D015658:HIV Infections / Q000191:economics / Q000517:prevention & control*; D017048:Health Care Costs; D006291:Health Policy; D006801:Humans; D007182:Income; D008297:Male; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000191:economics / Q000517:prevention & control; D011314:Preventive Health Services / Q000191:economics*; D014481:United States