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Unit costs declined with the volume of services provided for all three intervention types. The cost-effectiveness of the clinical provider sites was $107,656 per HIV case averted compared with no intervention. Clinical provider sites were less costly and more effective than the specialist or mixed sites. Conclusions: Compared with the lifetime cost of HIV/AIDS care and with other effective HIV prevention interventions, the clinical provider-led interventions in this study are cost-effective. In an incremental comparison with clinical provider sites, specialist and mixed intervention sites were not cost-effective.
Future costs, Schackman and colleagues estimate, will be $12.1 billion per year. Drugs will make up 70% of the cost. Access to HIV care may become increasingly difficult unless more government funds become available or the cost of HIV care is reduced, Johns Hopkins researcher Richard D. Moore says in a news release.