The cost-effectiveness of multi-purpose HIV and pregnancy prevention technologies in South Africa

By Matthew Quaife, Fern Terris-Prestholt, Robyn Eakle, Maria A. Cabrera Escobar, Maggie Kilbourne-Brook, Mercy Mvundura  Dr Gesine Meyer-Rath  Sinead Delany-Moretlwe, Peter Vickerman  |  | 

A number of antiretroviral HIV prevention products are efficacious in preventing HIV infection. However, the sexual and reproductive health needs of many women extend beyond HIV prevention, and research is ongoing to develop multi- purpose prevention technologies (MPTs) that offer dual HIV and pregnancy protection. We do not yet know if these products will be an efficient use of constrained health resources. In this paper, we estimate the cost-effectiveness of combinations of candidate multi-purpose prevention technologies (MPTs), in South Africa among general population women and female sex workers (FSWs).

To the best of our knowledge, this is the first study to estimate the cost-effectiveness of a range of potential MPTs; suggesting that MPTs will be cost-effective among higher incidence FSWs or young women, but not among lower incidence older women. More work is needed to make attractive MPTs available to potential users who could use them effectively.

Publication details

Journal of the International AIDS Society