TABLE 1.

Model Inputs

VariableAll Regions
Increase in HIV acquisition with POI use2840%
Average maternal age at time of birth25 years
Reduction in life expectancy for women with HIV on ART3825%
Reduction in life expectancy for women with HIV not on ART3875%
Probability of maternal-to-child transmission of HIV if ARVs used in labor402%
Probability of maternal-to-child transmission of HIV if ARVs not used in labor4025%
Standard discount ratea,393%
Regional Inputs
Central AfricaEastern AfricaSouthern AfricaWestern Africa
ChadDRCKenyaTanzaniaUgandaMalawiSouth AfricaBurkina FasoSenegal
Life expectancy (years)4151.558.761.665.058.562.757.258.266.4
HIV36
HIV incidence.001.0003.003.002.005.004.015.0005.0001
Probability of ARVs in labor.46.67.74.86.97.79.99.89.36
Probability of accessing ARVs.36.33.59.57.57.61.48.54.40
Contraceptive use8,9
POIs.09.012.14.087.14.32.28.061.052
COCs.005.007.07.06.03.02.05.02.041
Implant.00.007.016.005.025.09.00.08.012
IUD.00.002.023.002.005.01.01.001.006
Sterilization.001.007.041.041.027.10.14.002.002
Unmet need for contraceptionb,8.22.28.29.26.35.38.13.25.31
Maternal mortality6
Live birthc856693510546d343634138371315
Unsafe abortiond,e808010010010040408080
Pregnancy outcomes (per 100 women)13
Live birth.77.77.76.76.76.66.66.78.78
Induced abortion.13.13.14.14.14.24.24.12.12
Spontaneous abortion.09.09.09.09.09.09.09.09.09
Ectopic pregnancy.01.01.01.01.01.01.01.01.01
  • Abbreviations: ART, antiretroviral therapy; ARVs, antiretrovirals; COC, combined oral contraceptive; DRC, Democratic Republic of the Congo; IUD, intrauterine device; POI, progestin-only injectable.

  • a The standard discount rate is routinely used in decision analysis to account for the fact that goods (dollars, health) are not as valuable in the future as they are in the present. Anywhere between 1.5% and 5% is considered a reasonable rate to discount health outcomes.37

  • b The number of women of reproductive age who are married or living with a partner who are fecund, are not using contraception, and report that they do not want any more children or wish to delay their next pregnancy, divided by the number of women of reproductive age who are married or living with a partner.

  • c 2015 WHO estimates of maternal mortality ratio (per 100,000 live births).

  • d Country-level data were not available and so regional estimates were used.

  • e 2008 WHO unsafe abortion rates (per 1,000 women ages 15–44 years).