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Infections averted by a comprehensive HIV prevention intervention and its cost-effectiveness: a prospective cohort study of persons who inject drugs in Delhi, India.

Authors :
Saraswati, Lopamudra Ray
Dasgupta, Aparajita
Gupta, Indrani
Pulerwitz, Julie
Sarna, Avina
Source :
Journal of Development Effectiveness; Mar2023, Vol. 15 Issue 1, p77-90, 14p
Publication Year :
2023

Abstract

This paper presents the cost-effectiveness of a WHO-recommended harm-reduction programme implemented among a cohort of persons who inject drugs in Delhi, India. We estimate the number of infections averted using Bernoulli process model and calculate cost-effectiveness ratio as the total programme cost per infection averted. The intervention averted 996 HIV infections over 36 months, with a cost-effectiveness ratio of INR 24,763 (US$ 476) per infection averted per year. The first phase, when HIV testing and counselling were initiated, was more cost-effective than the second phase when full intervention package, including needle-syringe exchange, condom distribution, harm-reduction education, etc., was implemented. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
19439342
Volume :
15
Issue :
1
Database :
Complementary Index
Journal :
Journal of Development Effectiveness
Publication Type :
Academic Journal
Accession number :
162079785
Full Text :
https://doi.org/10.1080/19439342.2023.2166565