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Cost-effectiveness of Methadone Maintenance Treatment Centers in Prevention of Human Immunodeficiency Virus Infection

Publish place: Addiction and Health، Vol: 9، Issue: 2
Publish Year: 1396
Type: Journal paper
Language: English
View: 128

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Link to this Paper:
https://civilica.com/doc/2038438

Document National Code:

JR_AHJK-9-2_004

Index date: 2 August 2024

Cost-effectiveness of Methadone Maintenance Treatment Centers in Prevention of Human Immunodeficiency Virus Infection abstract

Background: Acquired immune deficiency syndrome (AIDS) is one of the greatest social health problems in many communities in the twenty-first century. Methadone maintenance treatment (MMT) could decrease HIV infection among injection drug users (IDU). The main aim of this paper was to determine the cost-effectiveness of the governmental MMT program to prevent human immunodeficiency virus (HIV) infection among IDU.Methods: This analytical study was performed through a before-after assessment during a one-year period. Using census sampling, 251 IDU referred to the public MMT program of Kerman, Iran, were selected. The expenditures of MMT centers were calculated in the view of government (public sector). The cost-effectiveness was calculated using TreeAge software.Findings: MMT centers averted 86 new cases of HIV infection. The total cost of centers was US471 per client in the year. The share of IDU from current expenditures was 35% and from capital expenditures was 32%. Also, methadone per capita for each person who injected drug was US514. Per capita expenditure of HIV drug treatment was estimated US8535 per year. Incremental cost effectiveness ratio (ICER) was US2856 per year, which means governmental MMT program is cost-effective according to the World Health Organization (WHO) criteria.Conclusion: MMT centers are cost-effective in preventing HIV infection and the access to this program should be facilitated for IDU.

Cost-effectiveness of Methadone Maintenance Treatment Centers in Prevention of Human Immunodeficiency Virus Infection Keywords:

Cost-benefit analysis , Methadone , maintenance , Therapeutics , HIV

Cost-effectiveness of Methadone Maintenance Treatment Centers in Prevention of Human Immunodeficiency Virus Infection authors

Sirus Pourkhajoei

Department of Health Services Management and Health Policy and Health Economics, School of Health Management and Information Sciences, Kerman University of Medical Sciences, Kerman, Iran

Mohsen Barouni

Associate Professor, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Alireza Noroozi

Iranian National Center for Addiction Studies AND Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran

Ahmad Hajebi

Associate Professor, Research Center for Addiction and Risky Behaviors, Department of Psychiatry, Iran University of Medical Sciences, Tehran, Iran

Saeed Amini

PhD Student, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Mohammad Karamouzian

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran AND School of Population and Public Health, University of British

Hamid Sharifi

Associate Professor, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran