AIDS and Behavior

, Volume 16, Issue 5, pp 1115–1120

Cost–Utility Analysis of A Female Condom Promotion Program in Washington, DC

  • David R. Holtgrave
  • Catherine Maulsby
  • Michael Kharfen
  • Yujiang Jia
  • Charles Wu
  • Jenevieve Opoku
  • Tiffany West
  • Gregory Pappas
Original Paper

DOI: 10.1007/s10461-012-0174-5

Cite this article as:
Holtgrave, D.R., Maulsby, C., Kharfen, M. et al. AIDS Behav (2012) 16: 1115. doi:10.1007/s10461-012-0174-5

Abstract

A retrospective economic evaluation of a female condom distribution and education program in Washington, DC. was conducted. Standard methods of cost, threshold and cost–utility analysis were utilized as recommended by the U.S. Panel on cost-effectiveness in health and medicine. The overall cost of the program that distributed 200,000 female condoms and provided educational services was $414,186 (at a total gross cost per condom used during sex of $3.19, including educational services). The number of HIV infections that would have to be averted in order for the program to be cost-saving was 1.13 in the societal perspective and 1.50 in the public sector payor perspective. The cost-effectiveness threshold of HIV infections to be averted was 0.46. Overall, mathematical modeling analyses estimated that the intervention averted approximately 23 HIV infections (even with the uncertainty inherent in this estimate, this value appears to well exceed the necessary thresholds), and the intervention resulted in a substantial net cost savings.

Keywords

Female condomHIV preventionEconomicsCost-effectiveness analysisPolicy analysis

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • David R. Holtgrave
    • 1
  • Catherine Maulsby
    • 1
  • Michael Kharfen
    • 2
  • Yujiang Jia
    • 2
  • Charles Wu
    • 2
  • Jenevieve Opoku
    • 2
  • Tiffany West
    • 2
  • Gregory Pappas
    • 2
  1. 1.Department of Health, Behavior & SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.HIV/AIDS, Hepatitis, STD & TB AdministrationD.C. Department of HealthWashingtonUSA