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Prevention/Epidemiology

Larger HIV Prevention Programs in Low-, Middle-Income Countries Can Reduce Costs, Increase Efficacy, Study Says

July 16, 2007

Larger HIV prevention programs in low- and middle-income countries can reduce program unit costs and increase efficacy, according to a study published recently in BMC Health Services Research, Asian News International reports. For the study, Elliott Marseille, a researcher at the University of California-San Francisco's Institute for Health Policy Studies, and colleagues examined HIV prevention programs in India, Mexico, Russia, South Africa and Uganda. They studied six types of ongoing prevention interventions:

  • Voluntary counseling and testing;

  • Programs that target commercial sex workers;

  • Provision of treatment for other sexually transmitted infections;

  • Information, communication and education projects;

  • Risk-reduction programs for injection drug users; and

  • Initiatives that aim to prevent mother-to-child HIV transmission.

According to Marseille, the researchers found that each doubling of the scale of a program reduced the average unit cost by one-third. He added that although the study is "broad," its findings indicate that "rapidly ramping up well-run, existing programs could have an immediate, startling effect in improving efficiency, reducing costs and containing" the spread of HIV.

According to James Kahn, a professor at IHPS and UCSF's AIDS Research Institute, the study's finding indicate that the increase in spending required to implement the recommendations in a recent report from the Global HIV Prevention Working Group could "not only increase capacity but potentially also increase efficiency by lowering unit costs of prevention services." He added, "This means that more HIV infections may be averted" (Asian News International, 7/12).

Online The study is available online.

Back to other news for July 2007

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Reprinted with permission from kaisernetwork.org. You can view the entire Kaiser Daily HIV/AIDS Report, search the archives, or sign up for email delivery at www.kaisernetwork.org/dailyreports/hiv. The Kaiser Daily HIV/AIDS Report is published for kaisernetwork.org, a free service of the Kaiser Family Foundation, by The Advisory Board Company. © 2007 by The Advisory Board Company and Kaiser Family Foundation. All rights reserved.



  
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This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily HIV/AIDS Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.
 
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