This document summarizes research on the costs, cost-effectiveness, and potential health impacts of scaling up an Integrated Prevention Campaign (IPC) globally. The research finds that IPC is very cost-effective in the top 10 countries with the highest disease burden, and even more so in subsequent campaigns as costs decline. Implementing IPC in the top 40 countries could avert 46 million Disability-Adjusted Life Years (DALYs) and save $1.4 billion. The conclusion is that scaling up IPC globally has strong potential for efficiently improving public health outcomes.

1. Scaling up the Integrated Prevention Campaign:
Health Impact and Cost by Setting and Globally
July 25, 2012
ELLIOT MARSEILLE, DRPH, MPP
HEALTH STRATEGIES INTERNATIONAL
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
UNIVERSITY OF WASHINGTON
Integrated Prevention Campaign: Evidence for Impact and Efficiency
Global Potential and Sustainability
XIX International AIDS Conference
Non-Commercial Satellite
Washington DC

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. COST-EFFECTIVENESS: USD / DALY AVERTED
$250
$200
$200
$150 $137
$100
$65
$52
$50 $33 $27
$14
$0 $0 $0
$0

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. 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. COST-EFFECTIVENESS
CAMPAIGN 2
$250
$200
$150
$97
$100
$50 $33
$14
$0 $0 $0 $0 $0 $0 $0
$0

7. MULTI-COUNTRY IPC INITIATIVE:
COSTS AND NET COSTS
$3.0
$2.5 Assumes 15%
$2.0 population coverage
$1.5
$1.0
Billions
$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. MULTI-COUNTRY IPC INITIATIVE :
DALYS AVERTED
50,000,000
45,000,000
40,000,000
35,000,000
DALYs 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. 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 highly
efficient strategy for improving global health.