Cost-effectiveness of increasing access to contraception during the Zika virus outbreak, Puerto Rico, 2016

Rui Li, Katharine Simmons, Jeanne Bertolli, Brenda Rivera-Garcia, Shanna Cox, Lisa Romero, Lisa M. Koonin, Miguel Valencia-Prado, Nabal Bracero, Denise J. Jamieson, Wanda Barfield, Cynthia A. Moore, Cara T. Mai, Lauren C. Korhonen, Meghan T. Frey, Janice Perez-Padilla, Ricardo Torres-Muñoz, Scott D. Grosse

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

We modeled the potential cost-effectiveness of increasing access to contraception in Puerto Rico during a Zika virus outbreak. The intervention is projected to cost an additional $33.5 million in family planning services and is likely to be cost-saving for the healthcare system overall. It could reduce Zika virus-related costs by $65.2 million ($2.8 million from less Zika virus testing and monitoring and $62.3 million from avoided costs of Zika virus-associated microcephaly [ZAM]). The estimates are influenced by the contraception methods used, the frequency of ZAM, and the lifetime incremental cost of ZAM. Accounting for unwanted pregnancies that are prevented, irrespective of Zika virus infection, an additional $40.4 million in medical costs would be avoided through the intervention. Increasing contraceptive access for women who want to delay or avoid pregnancy in Puerto Rico during a Zika virus outbreak can substantially reduce the number of cases of ZAM and healthcare costs.

Original languageEnglish (US)
Pages (from-to)74-82
Number of pages9
JournalEmerging Infectious Diseases
Volume23
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

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ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Li, R., Simmons, K., Bertolli, J., Rivera-Garcia, B., Cox, S., Romero, L., Koonin, L. M., Valencia-Prado, M., Bracero, N., Jamieson, D. J., Barfield, W., Moore, C. A., Mai, C. T., Korhonen, L. C., Frey, M. T., Perez-Padilla, J., Torres-Muñoz, R., & Grosse, S. D. (2017). Cost-effectiveness of increasing access to contraception during the Zika virus outbreak, Puerto Rico, 2016. Emerging Infectious Diseases, 23(1), 74-82. https://doi.org/10.3201/eid2301.161322