Cost–Utility Analysis of A Female Condom Promotion Program in Washington, DC
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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.
- Pinkerton, SD, Abramson, PR, Turk, ME (1998) Updated estimates of condom effectiveness. J Assoc Nurses AIDS Care. 9: pp. 88-89 CrossRef
- Dowdy, DW, Sweat, MD, Holtgrave, DR (2006) Country-wide distribution of the nitrile female condom (FC2) in Brazil and South Africa: a cost-effectiveness analysis. AIDS. 20: pp. 2091-2098 CrossRef
- Hirky, AE, Kirshenbaum, SB, Melendez, RM, Rollet, C, Perkins, SL, Smith, RA (2003) The female condom: attitudes and experiences among HIV-positive heterosexual women and men. Women Health. 37: pp. 71-89 CrossRef
- District of Columbia Department of Health and George Washington University School of Public Health. District of Columbia Comprehensive HIV/AIDS Behavioral Surveillance Report, 2008. http://dchealth.dc.gov/doh/lib/doh/pdf/dc_hiv_surveillance__summary.pdf. Accessed 30 Aug, 2011.
- Gold M. Panel on cost-effectiveness in health and medicine. Med Care. 1996;34(12 Suppl):DS197–199.
- Pinkerton, SD, Holtgrave, DR Assessing the cost-effectiveness of HIV prevention interventions: a primer. In: Holtgrave, DR eds. (1998) Handbook of economic evaluation of HIV prevention programs. Plenum Press, New York and London, pp. 34-41
- Trentacoste, ND, Holtgrave, DR, Collins, C, Abdul-Quader, A (2004) Disseminating effective behavioral interventions for HIV prevention: a cost analysis of a risk-reduction intervention for drug users. J Public Health Manag Pract. 10: pp. 130-139
- Holtgrave, DR, Briddell, K, Little, E (2007) Cost and threshold analysis of housing as an HIV prevention intervention. AIDS Behav. 11: pp. 162-166 CrossRef
- Holtgrave, DR (2007) Costs and consequences of the US Centers for Disease Control and Prevention’s recommendations for opt-out HIV testing. PLoS Med. 4: pp. 194 CrossRef
- Farnham, PG, Holtgrave, DR, Sansom, SL, Hall, HI (2010) Medical costs averted by HIV prevention efforts in the United States, 1991–2006. J Acquir Immune Defic Syndr. 54: pp. 565-567 CrossRef
- Walensky, RP (2009) Cost-effectiveness of HIV interventions: from cohort studies to clinical trials. Topics in HIV Medicine. 17: pp. 130-134
- Blondon M, Righini M, Bounameaux H, Veenstra DL. Fondaparinux for isolated superficial-vein thrombosis of the legs: a cost-effectiveness analysis. Chest. Jul 14 2011.
- Grosse, SD (2008) Assessing cost-effectiveness in healthcare: history of the $50,000 per QALY threshold. Expert Rev Pharmacoecon Outcomes Res. 8: pp. 165-178 CrossRef
- Hornberger, JC, Best, JH, Garrison, LP (1997) Cost-effectiveness of repeat medical procedures: kidney transplantation as an example. Med Decis Making. 17: pp. 363-372 CrossRef
- Holtgrave DR, Wolitski RJ, Pals SL, et al. Cost–utility analysis of the housing and health intervention for homeless and unstably housed persons living with HIV. Manuscript submitted for publication.
- Smith DK, Grohskopf LA, Black RJ, et al. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States. MMWR Morb Mortal Wkly Rep. 2005;54(RR02):1–20.
- Hoke, TH, Feldblum, PJ, Damme, K, Nasution, MD, Grey, TW, Wong, EL, Ralimamonjy, L, Raharimalala, L, Rasamindrakotroka, A (2007) Temporal trends in sexually transmitted infection prevalence and condom use following introduction of the female condom to Madagascar sex workers. Int J STD AIDS. 18: pp. 461-466 CrossRef
- Cost–Utility Analysis of A Female Condom Promotion Program in Washington, DC
AIDS and Behavior
Volume 16, Issue 5 , pp 1115-1120
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Female condom
- HIV prevention
- Cost-effectiveness analysis
- Policy analysis
- Industry Sectors
- Author Affiliations
- 1. Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Suite 280, Baltimore, MD, 21205, USA
- 2. HIV/AIDS, Hepatitis, STD & TB Administration, D.C. Department of Health, Washington, DC, USA