云南省注射吸毒人员清洁针具发放综合干预成本效益分析

发布时间：2018-10-05 14:36

【摘要】：目的从卫生经济学角度对注射吸毒人员(IDU)清洁针具发放综合干预服务进行成本效益分析,为总结推广提供参考。方法利用云南省艾滋病亚洲区域项目(HAARP)19个县网络数据库回顾性收集项目参与人员能力建设、宣传及干预转诊经费投入、服务IDU人数及人次数、发放清洁针具及安全套数量、转诊数量、干预条件下目标人群高危行为特征、艾滋病病毒(HIV)感染率变化,进行年度成本效益比对分析。结果 2008—2011年云南省19个县204名外展人员共为12 413名IDU提供394 321人次服务,发放清洁针具3 586 160只、安全套585384只,转诊12 406人次,共投入成本9 058 398元,共挽回伤残调整寿命年(DALY)5 144.7人年,因避免HIV感染挽回经济效益59 515 776元,产生净效益50 460 37元,成本效益比为1∶5.6。结论云南省清洁针具发放综合干预服务卫生经济成本效益明显,对控制艾滋病的传播具有重要意义。
[Abstract]:Objective to analyze the cost and benefit of the comprehensive intervention service for the distribution of (IDU) clean needles in injecting drug users from the point of view of health economics, and to provide a reference for summarizing and popularizing. Methods using the (HAARP) 19 county network database of Yunnan HIV / AIDS Asia project to collect the project participants' capacity building, propaganda and intervention referral funds, the number and number of IDU service, the number of clean needles and condoms were collected retrospectively. The number of referrals, the characteristics of high-risk behaviors in the target population and the change of HIV (HIV) infection rate were analyzed by comparing the annual cost and benefit. Results from 2008 to 2011, 204 outreaching staff from 19 counties of Yunnan Province provided 394,321 services to 12 413 IDU, distributed 3 586,160 clean needles, 585384 condoms and 12 406,400 referrals, with a total cost of 9 058,398 yuan. A total of 5 144.7 person / year (DALY) was recovered and the net benefit was 50 46037 yuan. The cost / benefit ratio was 1: 5. 6, and the net benefit was 59,515 776 yuan because of avoiding HIV infection. Conclusion the comprehensive intervention of clean needle distribution in Yunnan Province is of great economic and economic benefit to the control of AIDS transmission.
【作者单位】：昆明医科大学公共卫生学院;昆明云迪行为与健康研究中心;云南省第二人民医院;云南省疾病预防控制中心;
【基金】：中澳艾滋病亚洲区域项目(HAARP) 云南省防艾局社会组织动员项目
【分类号】：R512.91

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