The costs of HIV prevention for different target populations in Mumbai, Thane and Bangalore

BMC Public Health

Research

Michel Alary¹  Govindraj Shetty²  Bhaskar Reddy²  Anna Vassall³  Peter Vickerman³  Sudha Chandrashekar⁴ 

[1] Centre hospitalier affilié universitaire de Québec, Canada;Karnataka Health Promotion Trust, Bangalore, India;London School of Hygiene and Tropical Medicine, London, UK;London School of Hygiene and Tropical Medicine, London, UK;St Johns Research Institute, India;

关键词: Sexually Transmit Infection;    Asian Development Bank;    Sexually Transmit Infection Clinic;    Cost Breakdown;    Avahan Programme;   

DOI  :  10.1186/1471-2458-11-S6-S7

来源: Springer

【 摘 要 】

BackgroundAvahan, the India AIDS Initiative, delivers HIV prevention services to high-risk populations at scale. Although the broad costs of such HIV interventions are known, to-date there has been little data available on the comparative costs of reaching different target groups, including female sex workers (FSWs), replace with ‘high risk men who have sex with men (HR-MSM) and trans-genders.MethodsCosts are estimated for the first three years of Avahan scale up differentiated by typology of female sex workers (brothel, street, home, lodge based, bar based), HR-MSM and transgenders in urban districts in India: Mumbai and Thane in Maharashtra and Bangalore in Karnataka. Financial and economic costs were collected prospectively from a provider perspective. Outputs were measured using data collected by the Avahan programme. Costs are presented in US$2008.ResultsCosts were found to vary substantially by target group. Non-governmental organisations (NGOs) working with transgender populations had a higher mean cost (US $116) per person reached compared to those dealing primarily with FSWs (US $75-96) and MSWs (US $90) by the end of year three of the programme in Mumbai. The mean cost of delivering the intervention to HR-MSMs (US $42) was higher than delivering it to FSWs (US $37) in Bangalore. The package of services delivered to each target group was similar, and our results suggest that cost variation is related to the target population size, the intensity of the programme (in terms of number of contacts made per year) and a number of specific issues related to each target group.ConclusionsBased on our data policy makers and program managers need to consider the ease of accessing high risk population when planning and budgeting for HIV prevention services for these populations and avoid funding programmes on the basis of target population size alone.

【 授权许可】

CC BY   
© Chandrashekar et al; licensee BioMed Central Ltd. 2011