Table 1

Univariate sensitivity analysis. The overall estimate (top row) gives the projection with the default parameter values (underlined). The additional number of appointments, number on antiretroviral treatment (ART) and life-years saved are given in lower rows with one parameter changed at a time

Number of appointments per month (1000s)Number of ART (1000s)Cumulative life-years saved (100000s) year
Pre-ARTStarting ARTFollow-up on ART
Year2010201020102010203020102030
Overall estimate (with default parameters)41418110667162
Extra with
Initiation rule
 SymptomaticRef
 WHO-CD40†2848541055
Interval between scheduled appointments (pre-ART)
 12 months−150−1−6−280−1
6months Ref
 3 months320022102
Interval between scheduled appointments (post-ART)
 12 months00–9n/a* n/a* n/a* n/a*
6months Ref
 3 months0017n/a* n/a* n/a* n/a*
Effect of ART
 Worst0000 –1840–14
Mid Ref
 Best0010 11109
ANC referral and VCT uptake
 Poor ANC referral and low testing uptake−140−2−13−1190−6
Good ANC referral but low testing uptake Ref
 Good ANC referral and high testing uptake181425200016
Effectiveness at finding diagnosed:
 Few found (∼10% after 5 years)−10−1−7−41−210−8
Some found (∼50% after 5years) Ref
 Many found (∼90% after 5 years)13285142011
Behaviour change:
 No behaviour change171638193n/a* n/a*
Best estimate (behaviour change in 1990s) Ref
 Behaviour change in 1990s + intervention from 20050†00†0†−309n/a* n/a*
 Overall least estimate 1431271158n/a* n/a*
 Overall greatest estimate 12011553321996n/a* n/a*
With same behaviour change assumed:
 Overall least estimate 1421170336n/a* n/a*
 Overall greatest estimate 11911553311990n/a* n/a*
With same effect of ART and behaviour change assumed
 Overall least estimate 1431272505n/a* n/a*
 Overall greatest estimate 12011543271779n/a* n/a*
  • * These values are not meaningful because the model does not recognise that regularly monitoring on ART could prolong survival or that life-years are saved when incidence declines and infections are averted.

  • Here the simulation output has been replaced by 0 because the actual output represented a small value (<5% of the overall estimate in the top row), which should not be interpreted as a meaningful difference in these stochastic simulations.

  • The overall estimate for the least and greatest estimates make opposite sets of assumptions chosen (on the basis of the rest of the table) to give the outer-bounds for the projections in 2030 with the following exceptions: in all scenarios, behaviour change in the 1990s is assumed to have reduced incidence, and patients on ART are monitored every 6 months (in the model it is assumed that this has no influence on ART outcomes).

  • VCT, voluntary counselling and testing.