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Estimating the Impact and Cost of the WHO 2010 Guidelines for Antiretroviral Therapy
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note
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This figure is calculated using the 2010 prices of ART for low- and middle-income countries of $155 for first-line and $1678 for second-line [WHO, Towards Universal Access: Scaling up priority HIV/AIDS interventions in the health sector, Progress Report 2010, WHO, UNAIDS, UNICEF] and assuming that prices for second line ART decline to $980 by 2015. The cost of diagnostics and monitoring tests is $180 per patient, per year and the service delivery costs are $176 per patient, per year [Stover J, Bollinger L, Avila C. Estimating the Impact and Cost of the WHO 2010 Guidelines for Antiretroviral Therapy, AIDS Research and Treatment, Vol 2011, Article ID 738271, doi:10.1155/2011/738271]. Need for treatment begins eight years after infection and annual survival on first and second line is assumed to be 92% to 99% depending on the patient's CD4 count at treatment initiation (IeDEA Consortium). With these assumptions a typical patient survives for about 28 years on first-line treatment and 12 years on second-line. All costs are discounted at 3% per year to the time of infection. For more information, see the interactive ART costs calculator, which can be accessed through the "Policy Tools" link on the Futures Institute website, www.FuturesInstitute.org.
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AIDS Research and Treatment
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Stover, J.1
Bollinger, L.2
Avila, C.3
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