Premium
Revisión sistemática : Costes de Intervenciones para el SIDA en huérfanos y niños vulnerables
Author(s) -
SantaAnaTellez Yared,
DeMaria Lisa M.,
Galárraga Omar
Publication year - 2011
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2011.02856.x
Subject(s) - grey literature , econlit , psychological intervention , medicine , cost effectiveness , systematic review , family medicine , health care , medline , environmental health , nursing , economic growth , political science , risk analysis (engineering) , law , economics
Summary Objective To review the published and grey literature for information regarding the costs and cost‐effectiveness of interventions aimed at improving the welfare of orphans and vulnerable children owing to HIV/AIDS in low‐ and middle‐income countries. Method We carried out a search of the peer‐reviewed literature through PubMed, EconLit, and Web of Science for the period January 2000 to December 2010. We also extensively reviewed the grey literature through generalized web searches and consultations with experts and searches of the web pages of the main organizations active in providing services to orphans and vulnerable children (OVC). The search yielded 216 articles; cross‐sectional or longitudinal studies and articles that did not address specific interventions were not considered. The remaining 21 articles were categorized by domain and by type of intervention strategy. Results All studies reviewed were carried out in sub‐Saharan Africa. All outcomes are expressed as cost per child per year (in 2010 USD). Foster care estimates range from $614 to $1921. Educational support for primary school ranged from $30 to $75. Health interventions that would ensure child survival can be delivered for about $55. Conclusion More research is needed to improve planning and delivery of interventions for OVC. The paucity of cost and cost‐effectiveness data reflects the limited number of effectiveness studies. Nevertheless, this systematic literature review shows evidence that suggests that in the area of housing, foster care appears to be more cost effective than institutional care (orphanages).