Journal of Epidemiology
Online ISSN : 1349-9092
Print ISSN : 0917-5040
ISSN-L : 0917-5040
Cost-Effectiveness Analysis of Partner Notification Program for Human Immunodeficiency Virus Infection in Japan
Mahbubur RahmanTsuguya FukuiAtsushi Asai
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1998 Volume 8 Issue 2 Pages 123-128

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Abstract

Successful implementation of partner notification program (PNP) as a part of human immunodeficiency virus (HIV) prevention strategies in some developed countries motivated the execution of cost-effectiveness analysis of this program in Japan. Total number of HIV infected individuals and best estimated number of their partners in 1995 were used to elicit incremental cost-effectiveness ratio over no partner notification program. Index cases and their HIV positive partners world change their sex practice to safer one, thus preventing HIV transmission at a certain rate. This was translated to prevention of certain number of new HIV carriers and finally life years gained were calculated for it. The incremental cost-effectiveness ratio was US$ 4, 930 per life year gained. Sensitivity analysis indicated that partner notification program was cost- effective over a wide range of assumptions. These results compare favorably with other medical interventions in Japan. In conclusion, the results of this analysis strongly support the implementation of partner notification program as a part of HIV prevention strategies in Japan. J Epidemiol, 1998 ; 8 : 123-128.

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