Scaling up the Integrated Prevention Campaign

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Elliot Marseille, DrPH, MPP
Health Strategies International
University of California, San Francisco
University of Washington

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Scaling up the Integrated Prevention Campaign

  1. 1. Scaling up the Integrated Prevention Campaign:Health Impact and Cost by Setting and GloballyJuly 25, 2012ELLIOT MARSEILLE, DRPH, MPPHEALTH STRATEGIES INTERNATIONALUNIVERSITY OF CALIFORNIA, SAN FRANCISCOUNIVERSITY OF WASHINGTONIntegrated Prevention Campaign: Evidence for Impact and EfficiencyGlobal Potential and SustainabilityXIX International AIDS ConferenceNon-Commercial SatelliteWashington DC
  2. 2. IPC COST, TOP 10 COUNTRIES IN PER-CAPITA DISEASE BURDEN, PER 1000 PARTICIPANTS$140,000$120,000$100,000 $80,000 Campaign cost $60,000 (unadjusted) $40,000 Net cost $20,000 $0($20,000)($40,000)($60,000)
  3. 3. COST-EFFECTIVENESS: USD / DALY AVERTED$250 $200$200$150 $137$100 $65 $52 $50 $33 $27 $14 $0 $0 $0 $0
  4. 4. COST-EFFECTIVENESS: USD / DALY AVERTED$3,000 $2,845$2,500$2,000 $1,494 IPC CE$1,500 $1,058$1,000 $884 $840 $862 $796 $622 $666 $687 $500 ART CE $0
  5. 5. IPC COST, PER 1000 IPC PARTICIPANTS CAMPAIGN 2$140,000$120,000 Campaign cost$100,000 (unadjusted) $80,000 $60,000 Net cost $40,000 $20,000 $0($20,000)($40,000)
  6. 6. COST-EFFECTIVENESS CAMPAIGN 2$250$200$150 $97$100$50 $33 $14 $0 $0 $0 $0 $0 $0 $0 $0
  7. 7. MULTI-COUNTRY IPC INITIATIVE: COSTS AND NET COSTS $3.0 $2.5 Assumes 15% $2.0 population coverage $1.5 $1.0Billions $0.5 $0.0 ($0.5) ($1.0) ($1.5) ($2.0) IPC cost Net cost Top 10 $678,131,888 ($329,801,040) Top 25 $1,527,675,880 ($1,166,536,007) Top 40 $2,562,023,930 ($1,433,433,071)
  8. 8. MULTI-COUNTRY IPC INITIATIVE : DALYS AVERTED 50,000,000 45,000,000 40,000,000 35,000,000DALYs Averted 30,000,000 25,000,000 20,000,000 15,000,000 10,000,000 5,000,000 - Top 10 Top 25 Top 40
  9. 9. CONCLUSIONS – IMPLICATIONS IPC is highly cost-effective or cost saving in the 10 countries of highest opportunity. Even more favorable if ART used as cost-effectiveness threshold. Costs decline and cost-effectiveness generally more favorable in follow-up campaigns. If implemented in top 40 opportunity countries IPC could avert 46 million DALYs and save $1.4 billion. If taken to scale, IPC can be a highlyefficient strategy for improving global health.

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