Publication:
Cost-Effectiveness of Harm Reduction Interventions in Guangxi Zhuang Autonomous Region, China

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dc.contributor.authorWorld Bank
dc.date.accessioned2012-12-04T23:16:37Z
dc.date.available2012-12-04T23:16:37Z
dc.date.issued2012-05
dc.description.abstractChina's AIDS epidemic is mostly concentrated in high-risk populations, especially injection drug users and sex workers. Implementation of harm reduction programs in China has expanded rapidly in the past few years. The government resources devoted to AIDS nearly tripled between 2004 and 2005, and have increased sixty-fold relative to their level in 2000. This level of commitment warrants a careful examination of the efficiency with which these programs operate. As China's AIDS program is scaled up, issues concerning the allocation and effectiveness of resource use are rapidly gaining importance The objective of the study is to present the cost and cost-effectiveness of harm reduction interventions in Guangxi Province to help policymakers and program staff to mount a well-targeted, cost-effective, evidence-based HIV/AIDS prevention response. The study consists of two parts. The first part is to compile and analyze the resources used and their costs for delivering harm reduction services. The second part is to model the epidemic impact of behavioral changes produced by these HIV prevention interventions. The study examined three types of harm reduction activities: methadone maintenance treatment (MMT); needle exchange programs (NEPs); and a program for sex workers. Thus, identifying ways of increasing productivity may be promising avenues for enhancing efficiency. The cost-effectiveness analysis, based on an epidemic model liking with behavioral parameters, found the needle exchange program to be the most cost-effective of three interventions examined in this study.en
dc.identifierhttp://documents.worldbank.org/curated/en/2012/05/16339030/cost-effectiveness-harm-reduction-interventions-guangxi-zhuang-autonomous-region-china
dc.identifier.doi10.1596/11890
dc.identifier.urihttps://hdl.handle.net/10986/11890
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectAIDS PROGRAM
dc.subjectBABIES
dc.subjectBABY
dc.subjectBEHAVIOR CHANGE
dc.subjectBEHAVIORAL CHANGES
dc.subjectBEHAVIORAL RISK
dc.subjectCAPACITY BUILDING
dc.subjectCASUAL SEX
dc.subjectCLINICS
dc.subjectCOMMERCIAL SEX
dc.subjectCOMMUNITY EDUCATION
dc.subjectCONDOM
dc.subjectCONDOM DISTRIBUTION
dc.subjectCONDOM USE
dc.subjectCONDOMS
dc.subjectCORRECT USE OF CONDOMS
dc.subjectCOST EFFECTIVENESS
dc.subjectDEMAND FOR SERVICES
dc.subjectDETOXIFICATION
dc.subjectDEVELOPING COUNTRIES
dc.subjectDISEASE CONTROL
dc.subjectDRUG ABUSE
dc.subjectDRUG USE
dc.subjectEFFECTIVENESS OF CONDOMS
dc.subjectEPIDEMIOLOGICAL DATA
dc.subjectEXERCISES
dc.subjectFEMALE CONDOMS
dc.subjectFEMALES
dc.subjectFORMAL EDUCATION
dc.subjectFREQUENCY OF SEX
dc.subjectGROWTH RATE OF POPULATION
dc.subjectHARM REDUCTION
dc.subjectHARM REDUCTION INTERVENTIONS
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH IMPACT
dc.subjectHIDDEN EPIDEMIC
dc.subjectHIGH RISK GROUPS
dc.subjectHIGH-RISK
dc.subjectHIGH-RISK POPULATIONS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV INFECTIONS
dc.subjectHIV POSITIVE
dc.subjectHIV PREVENTION
dc.subjectHIV PREVENTION INTERVENTIONS
dc.subjectHIV TESTING
dc.subjectHIV TRANSMISSION
dc.subjectHIV/AIDS
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectINCUBATORS
dc.subjectINJECTING DRUG USERS
dc.subjectINJECTING DRUGS
dc.subjectINJECTION DRUG
dc.subjectINJECTION DRUG USERS
dc.subjectINTERVENTION
dc.subjectKNOWLEDGE BASE
dc.subjectLARGE POPULATION
dc.subjectLOCAL COMMUNITIES
dc.subjectLOCAL COMMUNITY
dc.subjectMALE CONDOMS
dc.subjectMEDICAL SUPPLIES
dc.subjectMETHADONE
dc.subjectMIGRATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMINORITY
dc.subjectMOTHER
dc.subjectMOTHER-TO-CHILD
dc.subjectMULTIPLE PARTNERS
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL AIDS CONTROL
dc.subjectNATIONAL RESOURCES
dc.subjectNEEDLE CLEANING
dc.subjectNEEDLE EXCHANGE
dc.subjectNEEDLE EXCHANGE PROGRAMS
dc.subjectNEEDLE SHARING
dc.subjectNEEDLES
dc.subjectNEW INFECTIONS
dc.subjectNUMBER OF PEOPLE
dc.subjectNURSE
dc.subjectOPEN SOCIETY
dc.subjectPATIENTS
dc.subjectPEER EDUCATORS
dc.subjectPOLICY MAKERS
dc.subjectPOPULATION GROUPS
dc.subjectPOPULATION SIZE
dc.subjectPOTENTIAL CONTRIBUTION
dc.subjectPREVALENCE
dc.subjectPREVALENCE RATE
dc.subjectPREVALENCE RATES
dc.subjectPREVENTION ACTIVITIES
dc.subjectPREVENTION OF MOTHER
dc.subjectPREVENTION OF MOTHER-TO-CHILD TRANSMISSION
dc.subjectPREVENTION STRATEGIES
dc.subjectPROMOTION OF CONDOM USE
dc.subjectPUBLIC HEALTH
dc.subjectQUALITY ASSURANCE
dc.subjectRADIO
dc.subjectRATE OF CONDOM USE
dc.subjectREAGENTS
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE USE
dc.subjectRESOURCE_ALLOCATION
dc.subjectRESPECT
dc.subjectRISK BEHAVIOR
dc.subjectRISK BEHAVIORS
dc.subjectRISK FACTORS
dc.subjectRISK POPULATIONS
dc.subjectRISK REDUCTION
dc.subjectRISK SCENARIOS
dc.subjectRISKY BEHAVIORS
dc.subjectRISKY SEXUAL BEHAVIOR
dc.subjectROOMS
dc.subjectRURAL AREAS
dc.subjectRURAL POPULATION
dc.subjectSCHOOLS
dc.subjectSERVICE DELIVERY
dc.subjectSEX BEHAVIOR
dc.subjectSEX FOR DRUGS
dc.subjectSEX PARTNERS
dc.subjectSEX WORK
dc.subjectSEX WORKER
dc.subjectSEX WORKERS
dc.subjectSEXUAL PARTNER
dc.subjectSEXUAL TRANSMISSION
dc.subjectSEXUALLY TRANSMITTED DISEASES
dc.subjectSEXUALLY TRANSMITTED INFECTION
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSOCIAL CHANGES
dc.subjectSOCIAL MARKETING
dc.subjectSPOUSE
dc.subjectSTIS
dc.subjectSUBSTITUTION TREATMENT
dc.subjectSYMPTOMATIC DISEASE
dc.subjectSYPHILIS
dc.subjectSYRINGES
dc.subjectTELEVISION
dc.subjectTRANSPORTATION
dc.subjectTREATMENT
dc.subjectUNAIDS
dc.subjectUNINFECTED INDIVIDUALS
dc.subjectUNPROTECTED SEX
dc.subjectURBAN POPULATION
dc.subjectUSE OF CONDOMS
dc.subjectUSER FEES
dc.subjectVERTICAL TRANSMISSION
dc.subjectVOLUNTARY COUNSELING
dc.subjectWASTE
dc.subjectWASTE DISPOSAL
dc.subjectYOUTH
dc.titleCost-Effectiveness of Harm Reduction Interventions in Guangxi Zhuang Autonomous Region, Chinaen
dspace.entity.typePublication
okr.date.disclosure2012-06-06
okr.date.doiregistration2025-05-07T11:38:43.327917Z
okr.doctypeEconomic & Sector Work::Other Social Protection Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2012/05/16339030/cost-effectiveness-harm-reduction-interventions-guangxi-zhuang-autonomous-region-china
okr.globalpracticeHealth, Nutrition, and Population
okr.guid379171468214511184
okr.identifier.externaldocumentum000425970_20120606145657
okr.identifier.internaldocumentum16339030
okr.identifier.report68677
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/06/06/000425970_20120606145657/Rendered/PDF/686770ESW0P0750ng0Autonomous0Region.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryChina
okr.sectorHealth and other social services :: Health
okr.sectorHealth and other social services :: Other social services
okr.themeSocial protection and risk management :: Other social protection and risk management
okr.themeHuman development :: HIV/AIDS
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicDisease Control and Prevention
okr.topicHealth Monitoring and Evaluation
okr.topicHealth, Nutrition and Population
okr.unitHNP Sector Unit (EASHH)
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