Economic evaluation of methadone maintenance treatment in HIV/AIDS control among injecting drug users in Dehong, China

Abstract

The purpose of this study was to analyze the cost and cost-effectiveness of methadone maintenance treatment (MMT) program in Dehong prefecture, Yunnan province, China. The cost-effectiveness analysis used process data retrospectively collected from the MMT clinics in Dehong Prefecture, Yunnan Province, from July 2005 to December 2007, a 30-month period available at the time of the study. Alternative estimates of the number of HIV infections prevented were calculated using incidence rate from cohort studies and retrospective studies. Program costs were collected retrospectively following standard methods using an ingredients methodology. The cost for each participant treated in MMT clinics was about $9.1–16.7 per month and the intervention averted 8.4–87.2 HIV infections with a cost-effectiveness of US$ 2509.3–4609.3 per HIV infection averted. This research demonstrates that MMT is a cost-effective intervention for reducing HIV transmission among injecting drug users, but the coverage of MMT intervention should be matched with the designed volume of MMT clinics to make the best use of resources.

Keywords:

• cost
• cost-effectiveness
• injecting drug users
• methadone maintenance treatment
• HIV prevention
• incidence
• China

Acknowledgements

This research was funded by the HIV/AIDS Prevention and Control Application Research Project of Ministry of Health of China #WA2005-03.