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One world, one hope: the cost of providing antiretroviral therapy to all nations.
Hogg, R S; Weber, A E; Craib, K J; Anis, A H; O'Shaughnessy, M V; Schechter, M T; Montaner, J S.
Afiliación
  • Hogg RS; British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canada.
AIDS ; 12(16): 2203-9, 1998 Nov 12.
Article en En | MEDLINE | ID: mdl-9833862
ABSTRACT
PIP: In 1997, an estimated 5.8 million people worldwide were infected with HIV, of whom 90% lived in developing countries, especially in sub-Saharan Africa. While antiretroviral therapy has been shown to prolong survival in people with HIV/AIDS, many of the countries with the highest rates of HIV infection have little or no access to antiretroviral therapy, for a number of reasons, including cost. Findings are presented from a study conducted to estimate the potential direct cost of making triple combination antiretroviral therapy widely available to all of the world's HIV-infected population. The potential cost of making such therapy available to HIV-positive people worldwide was estimated to be over US$65.8 billion, in 1997 US dollars, with the greatest expenditures needed in sub-Saharan Africa. The highest per capita drug cost in sub-Saharan Africa would be incurred in Southern Africa (US$149), followed by East Africa (US$116), Middle Africa (US$44), and West Africa (US$42). In the Americas, per capita drug costs would be US$22 in the Latin Caribbean, US$17 in the Caribbean, US$7 in the Andean Area, US$6 in the Southern Cone and North America, and US$5 in the Central American Isthmus. In Europe and Asia, the percentage of GNP needed to finance drug therapy was less than 1% in most countries examined. For each country, antiviral costs were determined by multiplying the annual cost of triple antiretroviral therapy by the estimated number of HIV-positive people accessing therapy. Per capita therapy costs were calculated by dividing the antiretroviral costs by the country's total population. The potential economic burden was calculated by dividing per capita antiretroviral costs by the gross national product (GNP) per capita.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Costos Directos de Servicios / Infecciones por VIH / Costos de los Medicamentos / Fármacos Anti-VIH Tipo de estudio: Diagnostic_studies / Health_economic_evaluation Límite: Adult / Child / Humans Idioma: En Revista: AIDS Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 1998 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Costos Directos de Servicios / Infecciones por VIH / Costos de los Medicamentos / Fármacos Anti-VIH Tipo de estudio: Diagnostic_studies / Health_economic_evaluation Límite: Adult / Child / Humans Idioma: En Revista: AIDS Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 1998 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido