Evidence map›Paper›PMID 34991550›Full record

ArticleBMC public health2022

The cost of community outreach HIV interventions: a case study in Thailand.

Kyaw Min Soe, Katharina Hauck, Sukhum Jiamton, Sukhontha Kongsin

Erratum issuedAbstract read
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Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Kyaw Min SoeResearch Centre for Health Economics and Evaluation, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Rd, Khet Ratchathewi, Bangkok, 10400, Thailand.
Katharina HauckDepartment of Infectious Disease Epidemiology, Faculty of Medicine, School of Public Health, Imperial College London, London, UK.
Sukhum JiamtonResearch Centre for Health Economics and Evaluation, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Rd, Khet Ratchathewi, Bangkok, 10400, Thailand.
Sukhontha KongsinResearch Centre for Health Economics and Evaluation, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Rd, Khet Ratchathewi, Bangkok, 10400, Thailand. sukhontha.kon@mahidol.edu.

Funding

Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

backgroundThere was an estimated 440,000 people living with HIV in Thailand in 2018. New cases are declining rapidly thanks to successful prevention programs and scaling up of anti-retroviral therapy (ART). Thailand aims to achieve its commitment to end the HIV epidemic by 2030 and implemented a cascade of HIV interventions through the Reach-Recruit-Test-Treat-Retain (RRTTR) program.

methodsThis study focused on community outreach HIV interventions implemented by Non-Governmental Organizations (NGOs) under the RRTTR program in 27 provinces. We calculated unit cost per person reached for HIV interventions targeted at key-affected populations (KAPs) including men who have sex with men/ transgender (MSM/TG), male sex workers (MSW), female sex workers (FSW), people who inject drugs (PWID) and migrants (MW). We studied program key outputs, costs, and unit costs in variations across different HIV interventions and geographic locations in Thailand. We used these estimates to determine costs of HIV interventions and evaluate economies of scale.

resultsThe interventions for migrants in Samut Sakhon was the least costly with a unit cost of 21.6 USD per person to receive services, followed by interventions for migrants in Samut Prakan 23.2 USD per person reached, MSM/TG in Pratum Thani 26.5USD per person reached, MSM/TG in Nonthaburi 26.6 USD per person reached and, MSM/TG in Chon Buri with 26.7 USD per person. The interventions yielded higher efficiency in large metropolitan and surrounding provinces. Harm reduction programs were the costliest compare with other interventions. There was association between unit cost and scale of among interventions indicating the presence of economies scale. Implementing HIV and TB interventions jointly increased efficiency for both cases.

conclusionThis study suggested that unit cost of community outreach HIV and TB interventions led by CSOs will decrease as they are scaled up. Further studies are suggested to follow up with these ongoing interventions for identifying potential contextual factors to improve efficiency of HIV prevention services in Thailand.

Indexed as

HIV InfectionsSexual and Gender MinoritiesSex WorkersCommunity-Institutional RelationsFemaleHomosexuality, MaleHumansMaleThailandCommunity-basedCostHIV interventionThailandUnit cost

Identifiers

PMID34991550
PMCPMC8740331

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.