Consolidated guidelines on HIV testing services, 2019: web annex G. Modelling the cost-effectiveness of using HIV/syphilis dual tests in antenatal care in high and low HIV burden settings (abstract)

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dc.coverageGeneva
dc.creatorWorld Health Organization
dc.date2020-03-25T15:57:56Z
dc.date2020-03-25T15:57:56Z
dc.date2020-03-25
dc.date.accessioned2026-08-03T06:53:25Z
dc.description2 p.
dc.descriptionThis Web Annex accompanies the Consolidated guidelines on HIV testing services, 2019 and presents an abstract describing a modelling study evaluating the cost–effectiveness of using dual HIV/syphilis rapid diagnostic tests in antenatal care across settings with different HIV burdens. Using Markov decision-analytic models, the study estimates the health and economic impact of replacing separate HIV and syphilis tests with a single dual rapid test at the first antenatal care visit in Kenya, South Africa, Colombia and Ukraine. Outcomes include maternal and infant health effects, programme costs, disability-adjusted life years (DALYs) and incremental cost–effectiveness ratios to inform policy decisions on antenatal testing strategies. The publication summarizes findings indicating that routine use of dual HIV/syphilis rapid tests at the first antenatal care visit is cost-saving compared with individual HIV and syphilis tests across all modelled settings while reducing the burden of congenital syphilis and supporting prevention of mother-to-child transmission of HIV. The annex also presents the related WHO implementation guidance recommending early antenatal testing for HIV, syphilis and hepatitis B surface antigen, and indicating that dual HIV/syphilis rapid diagnostic tests may be considered as the initial test in HIV testing strategies and algorithms in antenatal care settings. Intended as a technical companion to the main guideline, it provides modelling evidence supporting WHO recommendations and promotes transparency in the guideline development process.
dc.formatapplication/pdf
dc.identifierWHO/UCN/HHS/19.46
dc.identifier9789240011793 (electronic version)
dc.identifierhttps://iris.who.int/handle/10665/331550
dc.identifier.urihttps://repo.dare.co.zw/handle/123456789/211564
dc.languageEnglish
dc.languageen
dc.publisherWorld Health Organization
dc.relationRelated document (main document):
dc.relationhttps://iris.who.int/handle/10665/336323
dc.rightsCC BY-NC-SA 3.0 IGO
dc.rightshttps://creativecommons.org/licenses/by-nc-sa/3.0/igo
dc.rightsWorld Health Organization
dc.subjectHIV
dc.subjectHIV Infections
dc.subjectPreventive Health Services
dc.subjectGuidelines as Topic
dc.titleConsolidated guidelines on HIV testing services, 2019: web annex G. Modelling the cost-effectiveness of using HIV/syphilis dual tests in antenatal care in high and low HIV burden settings (abstract)
dc.typeTechnical Documents

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