title: Cost-utility analysis of a female condom promotion program in Washington, DC.
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.
authors.affiliation: Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Suite 280, Baltimore, MD 21205, USA. dholtgrave@jhsph.edu
authors.forename: David R
authors.initials: DR
authors.lastname: Holtgrave
authors.forename: Catherine
authors.initials: C
authors.lastname: Maulsby
authors.forename: Michael
authors.initials: M
authors.lastname: Kharfen
authors.forename: Yujiang
authors.initials: Y
authors.lastname: Jia
authors.forename: Charles
authors.initials: C
authors.lastname: Wu
authors.forename: Jenevieve
authors.initials: J
authors.lastname: Opoku
authors.forename: Tiffany
authors.initials: T
authors.lastname: West
authors.forename: Gregory
authors.initials: G
authors.lastname: Pappas
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics / Q000517:prevention & control*; D019111:Single-Use Internal Condom / Q000191:economics*; D003362:Cost-Benefit Analysis; D004219:District of Columbia; D005260:Female; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D008962:Models, Theoretical; D012189:Retrospective Studies; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000191:economics / Q000517:prevention & control*