Cost-Effectiveness of Integration

Few studies have rigorously examined the costs and cost-effectiveness of different models of family planning (FP) and HIV integration. An assessment of the costs of two models for integrating HIV voluntary counseling and testing (VCT) into FP clinics in South Africa found that either model was likely to be less expensive than creating and staffing a stand-alone VCT center.

Other studies suggest that addressing the unmet need for contraception among HIV-positive women is the most cost-effective way to prevent mother-to-child transmission of HIV. One modeling study showed that funding FP services and outreach to increase contraceptive use among women who do not want to get pregnant would avert 30 percent more HIV-positive births than would the same amount of money invested in HIV VCT plus treatment with the HIV drug nevirapine.