Assessing the Efficiency of HIV Prevention around the World: Methods of the PANCEA Project

Objective. To develop data collection methods suitable to obtain data to assess the costs, cost‐efficiency, and cost‐effectiveness of eight types of HIV prevention programs in five countries. Data Sources/Study Setting. Primary data collection from prevention programs for 2002–2003 and prior years,...

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Bibliographic Details
Published in:Health services research 2004-12, Vol.39 (6p2), p.1993-2012
Main Authors: Marseille, Elliot, Dandona, Lalit, Saba, Joseph, McConnel, Coline, Rollins, Brandi, Gaist, Paul, Lundberg, Mattias, Over, Mead, Bertozzi, Stefano, Kahn, James G.
Format: Article
Language:English
Subjects:
AIDS patients
Company business management
Company financing
cost
cost-effectiveness
Data collection
Disease prevention
Efficiency
Finance
Global Health
Global Issues in Public Health
HIV
HIV (Viruses)
HIV Infections - prevention & control
HIV prevention
Human immunodeficiency virus
Humans
International
Management
Mathematical models
Prevention
Prevention programs
Preventive Health Services - economics
Preventive Health Services - standards
Program Evaluation
Retrospective Studies
risk reduction
Sex Work
Studies
Testing
voluntary counseling and testing
Wellness programs
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Summary:Objective. To develop data collection methods suitable to obtain data to assess the costs, cost‐efficiency, and cost‐effectiveness of eight types of HIV prevention programs in five countries. Data Sources/Study Setting. Primary data collection from prevention programs for 2002–2003 and prior years, in Uganda, South Africa, India, Mexico, and Russia. Study Design. This study consisted of a retrospective review of HIV prevention programs covering one to several years of data. Key variables include services delivered (outputs), quality indicators, and costs. Data Collection/Extraction Methods. Data were collected by trained in‐country teams during week‐long site visits, by reviewing service and financial records and interviewing program managers and clients. Principal Findings. Preliminary data suggest that the unit cost of HIV prevention programs may be both higher and more variable than previous studies suggest. Conclusions. A mix of standard data collection methods can be successfully implemented across different HIV prevention program types and countries. These methods can provide comprehensive services and cost data, which may carry valuable information for the allocation of HIV prevention resources.
ISSN:0017-9124
1475-6773
DOI:10.1111/j.1475-6773.2004.00329.x