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Table 3 input parameters and plausible ranges used for sensitivity analysis in the Markov decision tree analysis for maternal and serodiscordant partner outcomes

From: Cost-effectiveness of option B+ in prevention of mother-to-child transmission of HIV in Yunnan Province, China

Parameters

Base-case

Reference

Primary probability

 CD4 counts at the last testing of PMTCT period

 

Surveillance data

 Percentage of pregnant women with CD4 count350 cells/μl(%)

75.91

 

 Percentage of pregnant women with CD4 count 200–350 cells/μl(%)

17.21

 

 Percentage of pregnant women with CD4 count< 200 cells/μl(%)

6.88

 

Death probability

 Monthly probability death of off ART, CD4 200-350cells/μl (α11)

0.00272

[16, 23, 24]

 Relative probability death per month off ART, CD4 > 350 vs. 200-350cells/μl (α2111)

0.206(0.206–0.258)

 

 Relative probability death per month off ART, CD4 < 200 vs. 200-350cells/μl (α3111)

9.08(3.45–9.08)

 

 Relative probability death on vs. off ART for the same CD4 counts (αi2i1)

0.19(0.14–0.25)

 

Transmission probability

 

[23]

 Off ART, monthly probability of moving from CD4 > 350 to 200–350 cells/μl

0.0257(0.0119–0.0289)

 

 Off ART, monthly probability of moving from CD4 200–350 to < 200 cells/μl

0.0188(0.0186–0.0274)

 

 On ART, monthly probability of moving from CD4 200–350 to > 350 cells/μl

0.0569(0.0247–0.0888)

 

 On ART, monthly probability of moving from CD4 < 200 to 200–350 cells/μl

0.0293(0.0274–0.0683)

 

Per vaginal sex act probability of HIV transmission from women to man

 

[25]

 CD4 > 350cells/μl

0.02(0.01–0.04)

 

 CD4 200-350cells/μl

0.03(0.01–0.04)

 

 CD4 < 200cells/μl

0.05(0.03–0.06)

 

% efficacy of ART in reducing HIV transmission

92(26–99)

[23]

QALY weight HIV-positive on ART or CD4 > 350cells/μl

0.947

[23]

QALY weight HIV-positive CD4 200–350 cells/μl

0.799

[23]

QALY weight HIV-positive CD4 < 200 cells/μl

0.453

[23]

Sex acts per month with regular partner

1–2

[21]

Cost parameters

 Provider unit cost ART per year (2016,US$)

3561

[19]