The impact of localized implementation: determining the cost-effectiveness of HIV prevention and care interventions across six United States cities.

ABSTRACT:

Objective

Effective interventions to reduce the public health burden of HIV/AIDS can vary in their ability to deliver value at different levels of scale and in different epidemiological contexts. Our objective was to determine the cost-effectiveness of HIV treatment and prevention interventions implemented at previously documented scales of delivery in six US cities with diverse HIV microepidemics.

Design

Dynamic HIV transmission model-based cost-effectiveness analysis.

Methods

We identified and estimated previously documented scale of delivery and costs for 16 evidence-based interventions from the US CDC's Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention. Using a model calibrated for Atlanta, Baltimore, Los Angeles, Miami, New York Cit

SUBMITTER: Krebs E 

PROVIDER: S-EPMC7046093 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature