AIDS and Behavior

, Volume 17, Supplement 2, pp 220–226

Cost Analysis of Enhancing Linkages to HIV Care Following Jail: A Cost-Effective Intervention


    • Rollins School of Public HealthEmory University
  • Steven D. Pinkerton
    • Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention ResearchMedical College of Wisconsin
  • Hillary Superak
    • Rollins School of Public HealthEmory University
  • Marc J. Cunningham
    • Rollins School of Public HealthEmory University
  • Stephen Resch
    • Harvard School of Public Health Center for Health Decision Science
  • Alison O. Jordan
    • New York City Department of Health and Mental HygieneTransitional Health Care Coordination
  • Zhou Yang
    • Rollins School of Public HealthEmory University
Original Paper

DOI: 10.1007/s10461-012-0353-4

Cite this article as:
Spaulding, A.C., Pinkerton, S.D., Superak, H. et al. AIDS Behav (2013) 17: 220. doi:10.1007/s10461-012-0353-4


We are not aware of published cost-effectiveness studies addressing community transitional programs for HIV-infected jail detainees. To address this gap, data from 9 sites of EnhanceLink, a project that enrolled HIV-infected releasees from jails across the US, were examined. Figures on the number of clients served, cost of linkage services, number of linkages and 6-month sustained linkages to community HIV care, and number of clients achieving viral suppression were assessed for subjects released in the first quarter of 2010 (n = 543). The cost analysis included all costs that participating service agencies incurred. A cost-effectiveness analysis was conducted to estimate the new HIV cases averted by EnhanceLink and the cost per quality-adjusted life year saved by the program. The mean cost per linked client was $4,219; the mean cost per 6-month sustained linkage was $4,670; and the mean cost per client achieving viral suppression was $8,432. Compared to standard care, the cost per additional quality-adjusted life year saved was $72,285, suggesting that the EnhanceLink interventions were cost-effective from the societal perspective.

Copyright information

© Springer Science+Business Media New York 2012