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Sex Transm Dis. 2006 Jun;33(6):350-6.

The value of contraception to prevent perinatal HIV transmission.

Author information

1
Health Services Research Division , Family Health International, Research Triangle Park, North Carolina 27709, USA. hreynolds@fhi.org

Abstract

OBJECTIVE:

The objective of this study was to highlight the value of preventing unintended pregnancies among HIV-infected women as a strategy to prevent perinatal HIV transmission.

GOAL:

The goal of this study was to assess the cost-effectiveness of family planning programs to avert HIV-positive births with the current programmatic emphasis: prenatal care services that provide and promote nevirapine for prevention of mother-to-child transmission of HIV.

STUDY DESIGN:

Cost-effectiveness analyses were conducted from the health system perspective during 1 year with a hypothetical sub-Saharan African population. Expected program costs were combined with number of HIV-positive births averted for each strategy.

RESULTS:

At the same level of expenditure, the contraceptive strategy averts 28.6% more HIV-positive births than nevirapine for prevention of mother-to-child transmission of HIV.

CONCLUSIONS:

Increasing contraceptive use among nonusers of contraception who do not want to get pregnant is cost-effective and is an equally important strategy to prevent perinatal transmission as prenatal care programs that provide and promote nevirapine to HIV-infected mothers.

[Indexed for MEDLINE]

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