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APHA Scientific Session and Event Listing

Cost savings incurred by offering family planning services at Emergency Plan HIV/AIDS care and treatment facilities

John Stover, Margaret Hamilton, and Leanne Dougherty. The Futures Group, One Thomas Circle NW, Suite 200, Washington, DC 20005, 202-775-9680, mhamilton@futuresgroup.com

Research supports the integration of FP and HIV/AIDS services as a means of increasing HIV-positive women's access to FP services in order to limit unplanned pregnancies, increase the practice of birth spacing for those who desire children, and reduce the incidence of mother-to-child transmission of HIV. By preventing unplanned pregnancies among positive women, the Emergency Plan can reduce the need for and costs related to providing prevention of mother-to-child transmission (PMTCT) services, care for HIV-positive children, and care and support for orphans.

An analysis was conducted on the costs and savings of including family planning in existing HIV-related care and treatment services in the original 14 Emergency Plan focus countries. The analysis results showed that the median cost for providing FP services to all 14 Emergency Plan countries implementing HIV/AIDS care and treatment is about $4 million, ranging between a lower and upper quartile of $3.6–4.4 million. The median savings is approximately $72 million, with a range of $62–82 million. Thus, the savings are larger than the costs under almost any combination of input assumptions.

We found that providing family planning at treatment centers resulted in savings of almost $25 for every dollar spent. While the additional expenditures and savings may not accrue in the same budget, the total savings to society are substantial. This analysis supports increasing resources allocated to FP services as a means to avert infections and generate cost savings that can then be applied to new programs aimed at achieving the Emergency Plan goals.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: International Family Planning, HIV/AIDS

Presenting author's disclosure statement:

Not Answered

Reproductive Health Programs

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA