Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience
Sweeney S, Obure CD, Maier CB, Greener R, Dehne K, Vassall A (2012)
Sexually Transmitted Infections 88(2): 85-99.
Zeitschriftenaufsatz
| Veröffentlicht | Englisch
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Autor*in
Sweeney, Sedona;
Obure, Carol Dayo;
Maier, Claudia BettinaUniBi ;
Greener, Robert;
Dehne, Karl;
Vassall, Anna
Abstract / Bemerkung
Objectives To review the literature on the potential efficiency gains of integrating HIV services with other health services.
Design Systematic literature review. Search of electronic databases, manual searching and snowball sampling. Studies that presented results on cost, efficiency or cost-effectiveness of integrated HIV services were included, focusing on low- and middle-income countries. Evidence was analysed and synthesised through a narrative approach and the quality of studies assessed.
Results Of 666 citations retrieved, 46 were included (35 peer reviewed and 11 from grey literature). A range of integrated HIV services were found to be cost-effective compared with ‘do-nothing’ alternatives, including HIV services integrated into sexual and reproductive health services, integrated tuberculosis/HIV services and HIV services integrated into primary healthcare. The cost of integrated HIV counselling and testing is likely to be lower than that of stand-alone counselling and testing provision; however, evidence is limited on the comparative costs of other services, particularly HIV care and treatment. There is also little known about the most efficient model of integration, the efficiency gain from integration beyond the service level and any economic benefit to HIV service users.
Conclusions In the context of increasing political commitment and previous reviews suggesting a strong public health argument for the integration of HIV services, the authors found the evidence on efficiency broadly supports further efforts to integrate HIV services. However, key evidence gaps remain, and there is an urgent need for further research in this area.
Erscheinungsjahr
2012
Zeitschriftentitel
Sexually Transmitted Infections
Band
88
Ausgabe
2
Seite(n)
85-99
ISSN
1368-4973
eISSN
1472-3263
Page URI
https://pub.uni-bielefeld.de/record/2982303
Zitieren
Sweeney S, Obure CD, Maier CB, Greener R, Dehne K, Vassall A. Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience. Sexually Transmitted Infections. 2012;88(2):85-99.
Sweeney, S., Obure, C. D., Maier, C. B., Greener, R., Dehne, K., & Vassall, A. (2012). Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience. Sexually Transmitted Infections, 88(2), 85-99. https://doi.org/10.1136/sextrans-2011-050199
Sweeney, Sedona, Obure, Carol Dayo, Maier, Claudia Bettina, Greener, Robert, Dehne, Karl, and Vassall, Anna. 2012. “Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience”. Sexually Transmitted Infections 88 (2): 85-99.
Sweeney, S., Obure, C. D., Maier, C. B., Greener, R., Dehne, K., and Vassall, A. (2012). Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience. Sexually Transmitted Infections 88, 85-99.
Sweeney, S., et al., 2012. Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience. Sexually Transmitted Infections, 88(2), p 85-99.
S. Sweeney, et al., “Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience”, Sexually Transmitted Infections, vol. 88, 2012, pp. 85-99.
Sweeney, S., Obure, C.D., Maier, C.B., Greener, R., Dehne, K., Vassall, A.: Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience. Sexually Transmitted Infections. 88, 85-99 (2012).
Sweeney, Sedona, Obure, Carol Dayo, Maier, Claudia Bettina, Greener, Robert, Dehne, Karl, and Vassall, Anna. “Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience”. Sexually Transmitted Infections 88.2 (2012): 85-99.