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

doi:10.1007/s10461-012-0174-5

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 journal › Article › peer-review

16 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1115-1120
Number of pages	6
Journal	AIDS and behavior
Volume	16
Issue number	5
DOIs	https://doi.org/10.1007/s10461-012-0174-5
State	Published - Jun 2012
Externally published	Yes

Keywords

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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10.1007/s10461-012-0174-5

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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.",

keywords = "Cost-effectiveness analysis, Economics, Female condom, HIV prevention, Policy analysis",

author = "Holtgrave, {David R.} and Catherine Maulsby and Michael Kharfen and Yujiang Jia and Charles Wu and Jenevieve Opoku and Tiffany West and Gregory Pappas",

note = "Funding Information: Acknowledgments Johns Hopkins University received support for this economic evaluation from the Female Health Company, the producer of the female condom product, FC2. The Washington DC Department of Health received support for the FC2 dissemination and education project from the Female Health Company; the educational project was also supported by the MAC AIDS Fund. Further details on this public/private sector partnership are provided in the text. Final control of the analysis and publication rested with the authors, not with any sponsor.",

year = "2012",

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AU - Opoku, Jenevieve

AU - West, Tiffany

AU - Pappas, Gregory

N1 - Funding Information: Acknowledgments Johns Hopkins University received support for this economic evaluation from the Female Health Company, the producer of the female condom product, FC2. The Washington DC Department of Health received support for the FC2 dissemination and education project from the Female Health Company; the educational project was also supported by the MAC AIDS Fund. Further details on this public/private sector partnership are provided in the text. Final control of the analysis and publication rested with the authors, not with any sponsor.

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N2 - 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.

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

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Keywords

ASJC Scopus subject areas

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