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China - Cost-effectiveness of harm reduction interventions in Guangxi Zhuang Autonomous Region, China (Inglês)

China's AIDS epidemic is mostly concentrated in high-risk populations, especially injection drug users and sex workers. Implementation of harm reduction programs in China has expanded rapidly in the past few years. The government resources devoted to AIDS nearly tripled between 2004 and 2005, and have increased sixty-fold relative to their level in 2000. This level of commitment warrants a careful examination of the efficiency with which these programs operate. As China's AIDS program is scaled up, issues concerning the allocation and effectiveness of resource use are rapidly gaining importance The objective of the study is to present the cost and cost-effectiveness of harm reduction interventions in Guangxi Province to help policymakers and program staff to mount a well-targeted, cost-effective, evidence-based HIV/AIDS prevention response. The study consists of two parts. The first part is to compile and analyze the resources used and their costs for delivering harm reduction services. The second part is to model the epidemic impact of behavioral changes produced by these HIV prevention interventions. The study examined three types of harm reduction activities: methadone maintenance treatment (MMT); needle exchange programs (NEPs); and a program for sex workers. Thus, identifying ways of increasing productivity may be promising avenues for enhancing efficiency. The cost-effectiveness analysis, based on an epidemic model liking with behavioral parameters, found the needle exchange program to be the most cost-effective of three interventions examined in this study.

Detalhes

  • Data do documento

    2012/05/08

  • TIpo de documento

    Outro estudo sobre proteção social

  • No. do relatório

    68677

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    China,

  • Região

    Leste Asiático e Pacífico,

  • Data de divulgação

    2012/06/06

  • Disclosure Status

    Disclosed

  • Nome do documento

    China - Cost-effectiveness of harm reduction interventions in Guangxi Zhuang Autonomous Region, China

  • Palavras-chave

    hiv prevalence;harm reduction programs;needle exchange;cost per unit of output;high risk area;needle exchange programs;frequency of sex;qualitative data collection method;correct use of condoms;risk of hiv transmission;promotion of condom use;rate of condom use;capital good;hiv prevention intervention;Epidemic;aids prevention response;harm reduction interventions;measures of effectiveness;hiv prevalence rate;needle and syringe;effectiveness of condoms;impact of intervention;Sexually Transmitted Disease;methadone maintenance treatment;condom use rates;Sexually Transmitted Infection;economies of scale;prevention program;needle sharing;high risk population;public health impact;hours of service;allocation of capital;rise and fall;increase in risk;portion of total;demand for service;cost of prevention;total population size;national aids control;quality of data;degree of variation;risky sexual behavior;list of asset;process of review;availability of data;high risk group;commercial sex worker;hiv incidence;geographic area;client reach;hiv epidemic;output data;survey instrument;governing board;Program Type;cost categories;baseline survey;syringe exchange;urban population;test kit;average duration;condom distribution;cost of distribution;general population;parameter value;behavioral change;unprotected sex;sex behavior;cost-effectiveness analysis;base case;local epidemic;administrative staff;mortgage payment;local expert;average cost;hiv+ partner;medical service;financial cost;community coverage;program efficiency;prevention strategies;trend line;hotel rooms;collected data;cost structure;field work;cooking fuel;scale economy;rural population;voluntary counseling;high-risk population;aids prevalence;cost data;social marketing;increase productivity;air conditioner;urban districts;scientific literature;program strategy;hiv testing;condom promotion;video monitor;trading market;substitution treatment;television advertisement;purchase price;average price;annex annex;peer educator;international aid;general budget;materials development;social change;government resource;vulnerable communities;rural area;hiv positive;incremental benefits;development partner;minority group;annual output;small fraction;month period;outreach program;large population;proportional increase;output cost;international agency;open society;program wage;behavioral parameters;Domestic NGO;budget expenditure;personnel expenditure;aids incidence;outreach education;truck driver;national resource;fax machine;hiv drug;aids epidemic;risk parameters;symptomatic disease;biological factor;expert opinion;drug abuse;audio cassette;intervention programs;cultural factor;general study;potential contribution;efficiency gain;special interest;short period;smaller number;relative value;temporary worker;additive effect;allocation rule;female condom;sexual transmission;conceptual approach;survey data;health strategy;cost-effective intervention;monthly salary;aids program;data limitation;electricity water;severe epidemic;output level;vertical transmission;toilet facility;hidden epidemic;Health ministries;aids action;school curricula;population group;behavior change;entertainment places;scientific data;scientific study;prevention work;constant return;radio advertisement;sexual partner;incorrect data;supply side;day trader;national highway;delivery efficiency;data gathering;public money;epidemiological survey;behavioral data;monitoring data;literature review;budgetary implication;multiple partner;initial distribution;reasonable estimate;cost information;casual sex;male population;behavioral risk;risk profile;prevention activities;original instrument;model result;model specification;scatter plot;peer counseling;epidemiological data;incomplete data;risky behavior;public security;Drug use;Funding agencies;salary cost;community education;safe disposal;mobile populations;program effectiveness;

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