Cost-Effectiveness of Harm Reduction Interventions in Guangxi Zhuang Autonomous Region, China

China's AIDS epidemic is mostly concentrated in high-risk populations, especially injection drug users and sex workers. Implementation of harm reduction programs in China has expanded rapidly in the past few years. The government resources devoted to AIDS nearly tripled between 2004 and 2005, and have increased sixty-fold relative to their level in 2000. This level of commitment warrants a careful examination of the efficiency with which these programs operate. As China's AIDS program is scaled up, issues concerning the allocation and effectiveness of resource use are rapidly gaining importance The objective of the study is to present the cost and cost-effectiveness of harm reduction interventions in Guangxi Province to help policymakers and program staff to mount a well-targeted, cost-effective, evidence-based HIV/AIDS prevention response. The study consists of two parts. The first part is to compile and analyze the resources used and their costs for delivering harm reduction services. The second part is to model the epidemic impact of behavioral changes produced by these HIV prevention interventions. The study examined three types of harm reduction activities: methadone maintenance treatment (MMT); needle exchange programs (NEPs); and a program for sex workers. Thus, identifying ways of increasing productivity may be promising avenues for enhancing efficiency. The cost-effectiveness analysis, based on an epidemic model liking with behavioral parameters, found the needle exchange program to be the most cost-effective of three interventions examined in this study.

Bibliographic Details

Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2012-05
Subjects:	AIDS PROGRAM, BABIES, BABY, BEHAVIOR CHANGE, BEHAVIORAL CHANGES, BEHAVIORAL RISK, CAPACITY BUILDING, CASUAL SEX, CLINICS, COMMERCIAL SEX, COMMUNITY EDUCATION, CONDOM, CONDOM DISTRIBUTION, CONDOM USE, CONDOMS, CORRECT USE OF CONDOMS, COST EFFECTIVENESS, DEMAND FOR SERVICES, DETOXIFICATION, DEVELOPING COUNTRIES, DISEASE CONTROL, DRUG ABUSE, DRUG USE, EFFECTIVENESS OF CONDOMS, EPIDEMIOLOGICAL DATA, EXERCISES, FEMALE CONDOMS, FEMALES, FORMAL EDUCATION, FREQUENCY OF SEX, GROWTH RATE OF POPULATION, HARM REDUCTION, HARM REDUCTION INTERVENTIONS, HEALTH EDUCATION, HEALTH IMPACT, HIDDEN EPIDEMIC, HIGH RISK GROUPS, HIGH-RISK, HIGH-RISK POPULATIONS, HIV, HIV INFECTION, HIV INFECTIONS, HIV POSITIVE, HIV PREVENTION, HIV PREVENTION INTERVENTIONS, HIV TESTING, HIV TRANSMISSION, HIV/AIDS, HOSPITAL, HOSPITALS, HUMAN DEVELOPMENT, INCUBATORS, INJECTING DRUG USERS, INJECTING DRUGS, INJECTION DRUG, INJECTION DRUG USERS, INTERVENTION, KNOWLEDGE BASE, LARGE POPULATION, LOCAL COMMUNITIES, LOCAL COMMUNITY, MALE CONDOMS, MEDICAL SUPPLIES, METHADONE, MIGRATION, MINISTRY OF HEALTH, MINORITY, MOTHER, MOTHER-TO-CHILD, MULTIPLE PARTNERS, NATIONAL AIDS, NATIONAL AIDS CONTROL, NATIONAL RESOURCES, NEEDLE CLEANING, NEEDLE EXCHANGE, NEEDLE EXCHANGE PROGRAMS, NEEDLE SHARING, NEEDLES, NEW INFECTIONS, NUMBER OF PEOPLE, NURSE, OPEN SOCIETY, PATIENTS, PEER EDUCATORS, POLICY MAKERS, POPULATION GROUPS, POPULATION SIZE, POTENTIAL CONTRIBUTION, PREVALENCE, PREVALENCE RATE, PREVALENCE RATES, PREVENTION ACTIVITIES, PREVENTION OF MOTHER, PREVENTION OF MOTHER-TO-CHILD TRANSMISSION, PREVENTION STRATEGIES, PROMOTION OF CONDOM USE, PUBLIC HEALTH, QUALITY ASSURANCE, RADIO, RATE OF CONDOM USE, REAGENTS, RESOURCE ALLOCATION, RESOURCE USE, RESOURCE_ALLOCATION, RESPECT, RISK BEHAVIOR, RISK BEHAVIORS, RISK FACTORS, RISK POPULATIONS, RISK REDUCTION, RISK SCENARIOS, RISKY BEHAVIORS, RISKY SEXUAL BEHAVIOR, ROOMS, RURAL AREAS, RURAL POPULATION, SCHOOLS, SERVICE DELIVERY, SEX BEHAVIOR, SEX FOR DRUGS, SEX PARTNERS, SEX WORK, SEX WORKER, SEX WORKERS, SEXUAL PARTNER, SEXUAL TRANSMISSION, SEXUALLY TRANSMITTED DISEASES, SEXUALLY TRANSMITTED INFECTION, SEXUALLY TRANSMITTED INFECTIONS, SOCIAL CHANGES, SOCIAL MARKETING, SPOUSE, STIS, SUBSTITUTION TREATMENT, SYMPTOMATIC DISEASE, SYPHILIS, SYRINGES, TELEVISION, TRANSPORTATION, TREATMENT, UNAIDS, UNINFECTED INDIVIDUALS, UNPROTECTED SEX, URBAN POPULATION, USE OF CONDOMS, USER FEES, VERTICAL TRANSMISSION, VOLUNTARY COUNSELING, WASTE, WASTE DISPOSAL, YOUTH,
Online Access:	http://documents.worldbank.org/curated/en/2012/05/16339030/cost-effectiveness-harm-reduction-interventions-guangxi-zhuang-autonomous-region-china https://hdl.handle.net/10986/11890
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