- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00270725
Impact of Anti-HIV Treatment on Labor Productivity and Costs in South Africa
The Effectiveness of Antiretroviral Therapy in Reducing the Costs of HIV/AIDS
Study Overview
Status
Conditions
Detailed Description
Little is known about the economic benefits of providing antiretroviral therapy (ART) for HIV infected patients in sub-Saharan Africa and other resource-limited areas. In South Africa, an increasing number of private sector firms are providing access to ART for their employees. One of the barriers to such action, however, is the lack of available information on the success of ART in restoring workers to full productivity, retaining skilled employees in the workforce, and reducing the costs of medical care and death and disability benefits. HIV infected employees on ART may be absent from work less often than untreated HIV infected employees, but more often than HIV uninfected employees. This study will collect data from an independent HIV/AIDS disease treatment program and a large private sector employer in Johannesburg, South Africa to estimate the benefits and costs for businesses to provide ART to eligible employees.
The study will combine individual-level medical outcome and treatment cost data from the treatment program with data on employee work attendance and retention in the workforce from the participating employer. The work attendance of HIV infected employees enrolled in the HIV/AIDS treatment program (index participants) who are either taking ART or receiving pre-ART care will be compared with each other and with that of HIV uninfected employees. There are no study visits associated with this study; all data will be collected from medical records maintained by the HIV/AIDS treatment program and the participants' employer. The financial costs and benefits of the treatment program for the participating company will also be estimated.
Study Type
Contacts and Locations
Study Locations
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Gauteng
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Johannesburg, Gauteng, South Africa, 2092
- Health Economics Research Office, Helen Joseph Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria for All Participants:
- Employed by participating company for at least 1 year prior to study entry
Inclusion Criteria for Index Participants:
- Enrolled in the HIV/AIDS treatment program offered by the participating company
Exclusion Criteria for Index Participants:
- Enrolled in the HIV/AIDS treatment program prior to 01/01/04 or after 06/30/05
Study Plan
How is the study designed?
Design Details
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sydney B. Rosen, MPA, Boston University
Publications and helpful links
General Publications
- Fox MP, Rosen S, MacLeod WB, Wasunna M, Bii M, Foglia G, Simon JL. The impact of HIV/AIDS on labour productivity in Kenya. Trop Med Int Health. 2004 Mar;9(3):318-24. doi: 10.1111/j.1365-3156.2004.01207.x.
- Rosen S, Vincent JR, MacLeod W, Fox M, Thea DM, Simon JL. The cost of HIV/AIDS to businesses in southern Africa. AIDS. 2004 Jan 23;18(2):317-24. doi: 10.1097/00002030-200401230-00023.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RTC-BU-01
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