Cost-utility analysis of a female condom promotion program in Washington, Dc

David R. Holtgrave, Catherine Maulsby, Michael Kharfen, Yujiang Jia, Charles Wu, Jenevieve Opoku, Tiffany West, Gregory Pappas

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1115-1120
Number of pages6
JournalAIDS and behavior
Issue number5
StatePublished - Jun 2012


  • Cost-effectiveness analysis
  • Economics
  • Female condom
  • HIV prevention
  • Policy analysis

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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