Cost-Utility Analysis of Three U.S. HIV Linkage and Re-engagement in Care Programs from Positive Charge

The PC Intervention Team

Research output: Contribution to journalArticlepeer-review

Abstract

Linking and retaining people living with HIV in ongoing, HIV medical care is vital for ending the U.S. HIV epidemic. Yet, 41–44 % of HIV+ individuals are out of care. In response, AIDS United initiated Positive Charge, a series of five HIV linkage and re-engagement projects around the U.S. This paper investigates whether three Positive Charge programs were cost effective and calculates a return on investment for each program. It uses standard methods of cost utility analysis and WHO-CHOICE thresholds. All three projects were found to be cost effective, and two were highly cost effective. Cost utility ratios ranged from $4439 to $137,271. These results suggest that HIV linkage to care programs are a productive and efficient use of public health funds.

Original languageEnglish (US)
Pages (from-to)973-976
Number of pages4
JournalAIDS and behavior
Volume20
Issue number5
DOIs
StatePublished - May 1 2016

Keywords

  • Cost effective
  • Cost saving
  • Cost utility analysis
  • HIV
  • Linkage to care
  • Retention in care

ASJC Scopus subject areas

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

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