This paper analyzes the costs and benefits of screening women of childbearing age for HIV.
The analysis is based on a dynamic compartmental model of the HIV epidemic that incorporates disease transmission and progression over time, behavioral changes, and effects of screening and associated counseling and education.
The model allows one to consider not only effects on the screened women and their newborns, but also effects on the rest of the population.
The analysis reveals that the primary benefit of screening programs targeted to women of childbearing age lies not in the prevention of HIV infection in their newborns but in the prevention of infection in their adult contacts.
We find that screening medium and high risk women is likely to be cost-beneficial.
Mots-clés Pascal : Immunodéficit acquis syndrome, Virose, Infection, Adulte, Homme, Modèle dynamique, Femelle, Immunopathologie, Dépistage, Modèle compartimental, Analyse avantage coût, Epidémiologie
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Adult, Human, Dynamic model, Female, Immunopathology, Medical screening, Compartment model, Cost benefit analysis, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0303983
Code Inist : 002B06D01. Création : 199406.