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

doi:10.1007/s10461-015-1109-8

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

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

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 language	English (US)
Pages (from-to)	1143-1156
Number of pages	14
Journal	AIDS and behavior
Volume	20
Issue number	6
DOIs	https://doi.org/10.1007/s10461-015-1109-8
State	Published - 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

Access to Document

10.1007/s10461-015-1109-8

Cite this

@article{e084be2df08e4024a6c4e9ba560aac46,

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

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{\textquoteright}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.",

keywords = "Community action, HIV, Macro-level analysis, Primary prevention, Program evaluation, Return on investment",

author = "Choi, {Stephanie K.Y.} and Holtgrave, {David R.} and Jean Bacon and Rick Kennedy and Joanne Lush and Frank McGee and Tomlinson, {George A.} and Rourke, {Sean B.}",

note = "Publisher Copyright: {\textcopyright} 2015, The Author(s).",

year = "2016",

month = jun,

day = "1",

doi = "10.1007/s10461-015-1109-8",

language = "English (US)",

volume = "20",

pages = "1143--1156",

journal = "AIDS and behavior",

issn = "1090-7165",

publisher = "Springer New York",

number = "6",

}

TY - JOUR

T1 - Economic Evaluation of Community-Based HIV Prevention Programs in Ontario

T2 - Evidence of Effectiveness in Reducing HIV Infections and Health Care Costs

AU - Choi, Stephanie K.Y.

AU - Holtgrave, David R.

AU - Bacon, Jean

AU - Kennedy, Rick

AU - Lush, Joanne

AU - McGee, Frank

AU - Tomlinson, George A.

AU - Rourke, Sean B.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - 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.

AB - 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.

KW - Community action

KW - HIV

KW - Macro-level analysis

KW - Primary prevention

KW - Program evaluation

KW - Return on investment

UR - http://www.scopus.com/inward/record.url?scp=84936816839&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84936816839&partnerID=8YFLogxK

U2 - 10.1007/s10461-015-1109-8

DO - 10.1007/s10461-015-1109-8

M3 - Article

C2 - 26152607

AN - SCOPUS:84936816839

SN - 1090-7165

VL - 20

SP - 1143

EP - 1156

JO - AIDS and behavior

JF - AIDS and behavior

IS - 6

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this