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Table 1 Parameter values used to assess the cost-effectiveness of the CLF-IVR compared to the SOC in Uganda

From: Cost-effectiveness of an interactive voice response system for improving retention in care and adherence to antiretroviral therapy among young adults in Uganda

Input parameters

Base case value

Sensitivity rangea

Reference

Initial distribution

 HIV

1.00

0.8—1.2

Assumption

 AIDS

0.00

0

Assumption

 Death

0.00

0

Assumption

Transition probabilities, %

 HIV state to AIDS state

0.046

0.02—0.08

[32]

 HIV state-to-death state

0.03

0.0063—0.082

[33]

 AIDS state-to-death state

0.23

0.16—0.33

[33]

Effect of intervention

 Viral load suppression rate, %

  VL suppression rate –IVR

0.74

0.68—0.79

Primary study

  VL suppression rate –SOC

0.52

0.45—0.58

Primary study

DALY weights

 DALY weight—HIV with ART

0.27

0.18—0.38

[38]

 DALY weight—AIDS with ART

0.08

0.05—0.11

[38]

Mean life expectancy at birth in Uganda (years)

 Life expectancy at birth in Uganda

64

51—78

[36]

Discount rate, %

 Discount rate

0.03

0.01—0.06

[29] 

Costs, US $

 Annual operation cost –CLF-IVR

36

29—43

Primary study

 ART duration in years over a lifetime –IVR

486

389—583

Assumption

 ART duration in years over a lifetime – SOC

898

718—1078

Assumption

 Annual cost of ART for a young adult living with HIV

369

295—443

[39]

  1. Abbreviations: ART Antiretroviral therapy, CLF-IVR Call for life interactive voice response, DALY Disability-adjusted life year, SOC Standard of care, VL Viral load
  2. aSensitivity ranges are based on the 95% confidence intervals and ± 20% for costs and life expectancy