Assessing Prevention for Positives: Cost-Utility Assessment of Behavioral Interventions for Reducing HIV Transmission

Sada Soorapanth () and Stephen E. Chick
Additional contact information
Sada Soorapanth: San Francisco State University
Stephen E. Chick: INSEAD

Chapter Chapter 8 in Operations Research and Health Care Policy, 2013, pp 157-178 from Springer

Abstract: Abstract Typical studies of HIV behavioral interventions measure relative risk reduction for HIV transmission. Here, we also consider the health benefits of such interventions on secondary transmission. In addition, a sensitivity analysis explores the potential additional benefits that may accrue if partners of those in the intervention group also adopt the risk reducing behavior. To do this, we developed an ordinary differential equation (ODE) model to analyze the cost and utility (measured in quality-adjusted life years, or QALYs) of a published behavioral HIV intervention that aims to reduce the risk of transmission from HIV-infected persons to their sexual partners. The ODE model maps measurements of behavioral risk reduction parameters, estimated from sampling, into costs and QALYs. Monte Carlo sampling was used to perform a probabilistic sensitivity analysis to quantify uncertainty in costs and QALYs due to parameter estimation error for the behavioral HIV intervention. The results suggest that the behavioral intervention is most likely to be cost-saving or, at least, cost-effective. The analysis highlights the step of converting uncertainty about estimates of mean values of parameters that are commonly reported in the literature to uncertainty about the costs and health benefits of an intervention. It also shows the potential importance of considering secondary transmission of HIV and the partial adoption of behavior change by partners of the individuals who undergo the intervention.

Keywords: Behavioral Intervention; Risky Behavior; Index Case; Probabilistic Sensitivity Analysis; Program Cost (search for similar items in EconPapers)
Date: 2013
References: Add references at CitEc
Citations:

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:isochp:978-1-4614-6507-2_8

Ordering information: This item can be ordered from
http://www.springer.com/9781461465072

DOI: 10.1007/978-1-4614-6507-2_8

Access Statistics for this chapter

More chapters in International Series in Operations Research & Management Science from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().