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Increases in adult life expectancy in rural South Africa: valuing the scale-up of HIV treatment

Increases in adult life expectancy in rural South Africa: valuing the scale-up of HIV treatment
Increases in adult life expectancy in rural South Africa: valuing the scale-up of HIV treatment
The scale-up of antiretroviral therapy (ART) is expected to raise adult life expectancy in populations with high HIV prevalence. Using data from a population cohort of over 101,000 individuals in rural KwaZulu-Natal, South Africa, we measured changes in adult life expectancy for 2000–2011. In 2003, the year before ART became available in the public-sector health system, adult life expectancy was 49.2 years; by 2011, adult life expectancy had increased to 60.5 years—an 11.3-year gain. Based on standard monetary valuation of life, the survival benefits of ART far outweigh the costs of providing treatment in this community. These gains in adult life expectancy signify the social value of ART and have implications for the investment decisions of individuals, governments, and donors.
0036-8075
961-965
Bor, Jacob
fb7faf5f-dd1e-4fe6-b8ba-352ddc743d51
Herbst, Abraham J.
2a85361b-0300-47ee-a371-e6d883eb4af1
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Barnighausen, Till
4d94b6a7-6815-45e1-902e-ef5ce0932e8b
Bor, Jacob
fb7faf5f-dd1e-4fe6-b8ba-352ddc743d51
Herbst, Abraham J.
2a85361b-0300-47ee-a371-e6d883eb4af1
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Barnighausen, Till
4d94b6a7-6815-45e1-902e-ef5ce0932e8b

Bor, Jacob, Herbst, Abraham J., Newell, Marie-Louise and Barnighausen, Till (2013) Increases in adult life expectancy in rural South Africa: valuing the scale-up of HIV treatment. Science, 339 (6122), 961-965. (doi:10.1126/science.1230413). (PMID:23430655)

Record type: Article

Abstract

The scale-up of antiretroviral therapy (ART) is expected to raise adult life expectancy in populations with high HIV prevalence. Using data from a population cohort of over 101,000 individuals in rural KwaZulu-Natal, South Africa, we measured changes in adult life expectancy for 2000–2011. In 2003, the year before ART became available in the public-sector health system, adult life expectancy was 49.2 years; by 2011, adult life expectancy had increased to 60.5 years—an 11.3-year gain. Based on standard monetary valuation of life, the survival benefits of ART far outweigh the costs of providing treatment in this community. These gains in adult life expectancy signify the social value of ART and have implications for the investment decisions of individuals, governments, and donors.

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More information

Published date: 22 February 2013
Organisations: Human Development & Health

Identifiers

Local EPrints ID: 350617
URI: https://eprints.soton.ac.uk/id/eprint/350617
ISSN: 0036-8075
PURE UUID: 365ff49e-caee-472c-a0f4-f291b453ee04
ORCID for Marie-Louise Newell: ORCID iD orcid.org/0000-0002-1074-7699

Catalogue record

Date deposited: 27 Mar 2013 12:12
Last modified: 06 Jun 2018 12:24

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Contributors

Author: Jacob Bor
Author: Abraham J. Herbst
Author: Till Barnighausen

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