Original Paper

AIDS and Behavior

, Volume 16, Issue 5, pp 1115-1120

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

  • David R. HoltgraveAffiliated withDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health Email author 
  • , Catherine MaulsbyAffiliated withDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health
  • , Michael KharfenAffiliated withHIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health
  • , Yujiang JiaAffiliated withHIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health
  • , Charles WuAffiliated withHIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health
  • , Jenevieve OpokuAffiliated withHIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health
  • , Tiffany WestAffiliated withHIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health
  • , Gregory PappasAffiliated withHIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health

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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 condom HIV prevention Economics Cost-effectiveness analysis Policy analysis