Cost-effectiveness of Increasing Access to Contraception during the Zika Virus Outbreak, Puerto Rico, 2016

• DOI: 10.3201/eid2301.161322
• Publication Date: 2016-12-14T13:49:04Z
• Authors: Rui Li; Katharine B. Simmons; Jeanne Bertolli; Brenda Rivera-Garcia; Shanna Cox; Lisa Romero; Lisa M. Koonin; Miguel Valencia-P...; 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
• Keywords: Zika Virus; Microcephaly

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