Money spent on community-based HIV prevention translates into treatment savings So community based programme must be taken
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Money spent on community-based HIV prevention translates into treatment savings So community based programme must be taken
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Every $1 spent on community-based HIV prevention programs in Ontario saves $5 in treatment costs, a new study has found.The programs have prevented more than 16,000 people from becoming infected with HIV over 25 years and saved Ontario's health care system about $6.5 billion, said lead author Dr. Sean Rourke of St. Michael's Hospital.
Dr. Rourke said that while there is significant evidence that community-based and behavioural interventions are effective in reducing risky behaviour and the incidence of sexually transmitted infections in high-risk populations, this is the first study in Ontario to show the programs are also cost-effective.
His results were published in the journal AIDS and Behaviour.
"This is important information for health planners and policy decision-makers trying to determine whether allocating scarce resources to these programs is good value for money," said Dr. Rourke, a scientist with the hospital's Li Ka Shing Knowledge Institute.
The economic burden of HIV infection is substantial. In the United States, on average the lifetime cost to treat one person infected with HIV ranges from $253,000 to $402,000. A 2008 study in Alberta found the mean treatment cost per patient in that province was $1,159 in 2005 Canadian dollars or $13,908 a year. Assuming a person spends 19 to 32 years on antiretroviral drugs, the mean lifetime treatment cost per HIV patient in Canada was $286,965 in 2011 dollars.
Dr. Rourke said his findings that community-based programs avert infections and save health care dollars are consistent with similar studies in other jurisdictions. He examined HIV infection rates and health care spending between 1987, when community-based and public health care programs for HIV began, and 2011.
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