Projected impact over 4 years (1995–8) of the STI treatment aspect of the SIDA2 HIV prevention intervention, for its current method of syndromic diagnosis and if it had used POC tests
Diagnostic test used for Ng/Ct | FSW Ng/Ct screening | FSW clinic attenders treated for Ng/Ct at SIDA2 clinic | Total Ng/Ct averted [prevented fraction*] | Total HIV averted [prevented fraction*] | Infections averted per FSW treated at clinic | |||||
---|---|---|---|---|---|---|---|---|---|---|
Sensitivity | Specificity | Correctly | Incorrectly | Mean | (95% CI) | Mean | (95% CI) | Ng/Ct | HIV | |
Numbers in parentheses are uncertainty bounds. | ||||||||||
*Prevented fraction refers to the percentage of incident infections that are averted as a result of the STI treatment intervention | ||||||||||
Syndromic algorithm | 48% | 75% | 1339 (1181–1709) | 1861 (1668–1966) | 18 553 [10%] | (16 871–20 447) (8% to 13%) | 359 [6%] | (220–464) (4% to 8%) | 5.8 (5.2–6.2) | 0.11 (0.07–0.14) |
POC test | 60% | 95% | 1620 (1423–2081) | 377 (338–398) | 22 882 [13%] | (20 766–25 307) (10% to 16%) | 442 [8%] | (272–572) (5% to 10%) | 11.5 (10.2–12.4) | 0.22 (0.12–0.29) |
POC test | 70% | 95% | 1840 (1610–2375) | 381 (342–402) | 26 395 [15%] | (23 913–29 278) (12% to 18%) | 509 [9%] | (314–660) (6% to 11%) | 11.9 (10.6–12.9) | 0.23 (0.13–0.31) |
POC test | 80% | 95% | 2046 (1785–2655) | 384 (346–406) | 29 823 [17%] | (26 970–33 180) (13% to 20%) | 575 [10%] | (355–746) (6% to 12%) | 12.3 (10.9–13.3) | 0.24 (0.13–0.32) |