Is HIV screening in the general population cost-effective?

  • HL Tan
  • KC Koh


Ms RK, a 24 year old Muslim female clerk, presented to theHealth Clinic for a medical check up. She was getting marriedand asked for pre-marital screening. As a Muslim, she neededto undergo Human Immunodeficiency Virus (HIV) screeningbefore registering her marriage. Pre-testing counsellingrevealed no risk factor for HIV infection. Her HIV test wasnegative (using the rapid test SD Bioline HIV-1/2 3.0). TheHIV test of her fiance (done elsewhere) was also negative. (copied from article)


Khebir BV, Adam MA, Daud AR, Shahrom CM. Premarital HIV screening in Johor —(2002-2004). Med J Malaysia. 2007;62(1):19-22.

Kamali MH. The Johor fatwa on mandatory HIV testing. The 2001. (Accessed 29th Aug 2008).

Branson BM, Handsfield HH, Lampe MA, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2001;50(RR- 19):1-62.

Sanders, G D, Bayoumi, A M, Sundaram, et al. Costeffectiveness of screening for HIV in the era of highly active antiretroviral therapy. N Engl J Med. 2005;352(6):570-85.

Paltiel AD, Weinstein MC, Kimmel AD, et al. Expanded screening for HIV in the United States — an analysis of cost-effectiveness. N Engl J Med. 2005;352(6):586-95.

UNICEF. HIV prevalence in Malaysia. (Accessed 29th Aug 2008).

Guideline for Anonymous and Voluntary HIV Screening. AIDS/STD Section, Department of Public Health, Ministry of Health, 2003. 9 (Accessed 29th Aug 2008).

Phillips K A, Fernyak S. The cost-effectiveness of expanded HIV counselling and testing in primary care settings: a first look. AIDS. 2000;14(14):2159-69.

How to Cite
TanH., & KohK. (2008). Is HIV screening in the general population cost-effective?. Malaysian Family Physician, 3(2), 2. Retrieved from
Original Articles