Task-shifting alcohol interventions for HIV+ persons in Kenya: a cost-benefit analysis.

ABSTRACT:

Background

Among HIV+ patients, alcohol use is a highly prevalent risk factor for both HIV transmission and poor adherence to HIV treatment. The large-scale implementation of effective interventions for treating alcohol problems remains a challenge in low-income countries with generalized HIV epidemics. It is essential to consider an intervention's cost-effectiveness in dollars-per-health-outcome, and the long-term economic impact -or "return on investment" in monetary terms.

Methods

We conducted a cost-benefit analysis, measuring economic return on investment, of a task-shifted cognitive-behavioral therapy (CBT) intervention delivered by paraprofessionals to reduce alcohol use in a modeled cohort of 13,440 outpatients in Kenya. In our base-case, we estimated the costs and e

SUBMITTER: Galarraga O 

PROVIDER: S-EPMC5371255 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature