The costs of treating curable sexually transmitted infections in low- and middle-income countries: a systematic review.


Terris-Prestholt, F; Vyas, S; Kumaranayake, L; Mayaud, P; Watts, C; (2006) The costs of treating curable sexually transmitted infections in low- and middle-income countries: a systematic review. Sexually transmitted diseases, 33 (10 Suppl). S153-66. ISSN 0148-5717 DOI: https://doi.org/10.1097/01.olq.0000235177.30718.84

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Abstract

BACKGROUND:: Calls for increased investment in sexually transmitted infection (STI) treatment across the developing world have been made to address the high disease burden and the association with HIV transmission. GOALS:: The goals of this study were to systematically review evidence on the cost of treating curable STIs and to explore its key determinants. STUDY:: A search of published literature was conducted in PubMed and supplemented by reviews of gray literature. Studies were analyzed by broad focus. Regression analysis explored how intervention characteristics affect unit costs, accounting for differences in costing methods. RESULTS:: Fifty-three primary studies were identified, of which 62% used empirical data, 35% presented economic costs, and 22% presented full costs. The median STI treatment cost was $17.80. Clinics serving symptomatic patients were consistently cheaper than outreach services, services using syndromic management protocols had lower costs, and unit costs decreased with scale. CONCLUSIONS:: The compiled cost data provide an evidence base that can be used to help inform resource planning.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Social and Mathematical Epidemiology (SaME)
PubMed ID: 17003680
Web of Science ID: 242139400011
URI: http://researchonline.lshtm.ac.uk/id/eprint/11004

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