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. 1996 Dec;86(12):1709-12.
doi: 10.2105/ajph.86.12.1709.

The cost-effectiveness of HIV prevention targeting: how much more bang for the buck?

J G Kahn  1
Affiliations

The cost-effectiveness of HIV prevention targeting: how much more bang for the buck?

J G Kahn. Am J Public Health. 1996 Dec.

Abstract

Background: Although the targeting of human immunodeficiency virus (HIV) prevention to high-risk populations has been widely discussed, its benefits have not been quantified.

Methods: This analysis of cost-effectiveness combines an HIV epidemic model, target population scenarios, and data on the cost and impact of prevention.

Results: The number of HIV infections averted in 5 years with $1 million in annual prevention spending ranges from 164 in high-risk populations to 0.4 in very-low-risk populations. Fortyfold to two-hundredfold differences in prevention costs could equalize HIV infections averted.

Conclusions: Targeting appears to provide substantial benefit and should be considered in allocation decisions about prevention.

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