title: [A study on the health economic evaluations of prevention of mother-to-child HIV transmission in Dehong prefecture, Yunnan province, China from 2004 to 2013].
abstract: OBJECTIVE
  To conduct health economic evaluation of the prevention of mother-to-child HIV among pregnant women in Dehong prefecture, Yunnan province, China from 2004 to 2013.
  
  
  METHODS
  Data on cost were collected mainly from the annual prevention of mother-to-child transmission (PMTCT) reporting system of Dehong prefecture, and supplemented by HIV PMTCT-related resource allocation data from local health bureau. Effectiveness indexes were from local continuous HIV surveillance system and annual reported data. Cost-effectiveness and cost-utility analysis were used to conduct the health economic evaluation.
  
  
  RESULTS
  From 2004 to 2013, 283980 pregnant women were screened for HIV, 2 059 were detected as positive, and the HIV positive rate was 0.73%. The total cost of the PMTCT program was 14 227 000 RMB after discounting, and the unit cost of positive case finding was 4 200 RMB. A total of 26 cases of adults and 325 infants were avoided HIV infection, and the cost-effectiveness ratio (CER) was 40 500 RMB/case. The total obtained quality adjusted life years (QALY) from the program was 8 911.5, each one of which cost 1 600 RMB/QALY. If the feeding pattern were breast feeding, CER would be 42 800 RMB/case and each one of QALY would cost 2 200 RMB.
  
  
  CONCLUSIONS
  Based on the cost-effectiveness and cost-utility analysis, the HIV PMTCT of Dehong prefecture had economic value, which indicates that continued investment is needed to strengthen local HIV PMTCT work.
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors: Duo
authors: D
authors: Shan
authors: Juan
authors: J
authors: Wang
authors: Song
authors: S
authors: Duan
authors: Yunsong
authors: Y
authors: Guo
authors: Shuping
authors: S
authors: Tang
authors: Yuecheng
authors: Y
authors: Yang
authors: Runhua
authors: R
authors: Ye
authors: Hui
authors: H
authors: Xue
authors: Guang
authors: G
authors: Zhang
authors: Yiyun
authors: Y
authors: Hu
authors: Email: jpsun@chinaaids.cn.
authors: Jiangping
authors: J
authors: Sun
mesh_terms: D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D002648:Child; D002681:China; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D005260:Female; D015658:HIV Infections; D006262:Health; D006801:Humans; D007223:Infant; D018445:Infectious Disease Transmission, Vertical; D009035:Mothers; D011247:Pregnancy; D019057:Quality-Adjusted Life Years