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Infections averted by a comprehensive HIV prevention intervention and its cost-effectiveness: a prospective cohort study of persons who inject drugs in Delhi, India

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  • Lopamudra Ray Saraswati
  • Aparajita Dasgupta
  • Indrani Gupta
  • Julie Pulerwitz
  • Avina Sarna

Abstract

This paper presents the cost-effectiveness of a WHO-recommended harm-reduction programme implemented among a cohort of persons who inject drugs in Delhi, India. We estimate the number of infections averted using Bernoulli process model and calculate cost-effectiveness ratio as the total programme cost per infection averted. The intervention averted 996 HIV infections over 36 months, with a cost-effectiveness ratio of INR 24,763 (US$ 476) per infection averted per year. The first phase, when HIV testing and counselling were initiated, was more cost-effective than the second phase when full intervention package, including needle-syringe exchange, condom distribution, harm-reduction education, etc., was implemented.

Suggested Citation

  • Lopamudra Ray Saraswati & Aparajita Dasgupta & Indrani Gupta & Julie Pulerwitz & Avina Sarna, 2023. "Infections averted by a comprehensive HIV prevention intervention and its cost-effectiveness: a prospective cohort study of persons who inject drugs in Delhi, India," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 15(1), pages 77-90, January.
  • Handle: RePEc:taf:jdevef:v:15:y:2023:i:1:p:77-90
    DOI: 10.1080/19439342.2023.2166565
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