Economic Evaluation of Community-Based HIV Prevention Programs in Ontario: Evidence of Effectiveness in Reducing HIV Infections and Health Care Costs

Stephanie K.Y. Choi, David R. Holtgrave, Jean Bacon, Rick Kennedy, Joanne Lush, Frank McGee, George A. Tomlinson, Sean B. Rourke

Research output: Contribution to journalArticlepeer-review

Abstract

Investments in community-based HIV prevention programs in Ontario over the past two and a half decades are assumed to have had an impact on the HIV epidemic, but they have never been systematically evaluated. To help close this knowledge gap, we conducted a macro-level evaluation of investment in Ontario HIV prevention programs from the payer perspective. Our results showed that, from 1987 to 2011, province-wide community-based programs helped to avert a total of 16,672 HIV infections, saving Ontario’s health care system approximately $6.5 billion Canadian dollars (range 4.8–7.5B). We also showed that these community-based HIV programs were cost-saving: from 2005 to 2011, every dollar invested in these programs saved about $5. This study is an important first step in understanding the impact of investing in community-based HIV prevention programs in Ontario and recognizing the impact that these programs have had in reducing HIV infections and health care costs.

Original languageEnglish (US)
Pages (from-to)1143-1156
Number of pages14
JournalAIDS and behavior
Volume20
Issue number6
DOIs
StatePublished - Jun 1 2016

Keywords

  • Community action
  • HIV
  • Macro-level analysis
  • Primary prevention
  • Program evaluation
  • Return on investment

ASJC Scopus subject areas

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

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