Shrestha Ram K, Sansom Stephanie L, Schulden Jeffrey D, Song Binwei, Smith Linney C, Ramirez Ramon, Mares-DelGrasso Azul, Heffelfinger James D
Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA 30333, USA.
AIDS Educ Prev. 2011 Jun;23(3 Suppl):49-57. doi: 10.1521/aeap.2011.23.3_supp.49.
We assessed the costs and effectiveness of rapid HIV testing services provided to transgender communities in New York City and San Francisco from April 2005 to December 2006. Program costs were estimated based on service provider's perspective and included the costs attributable to staff time, incentives, transportation, test kits, office space, equipment, supplies, and utilities. The average annual numbers of persons tested were 195 and 106 persons and numbers notified of new HIV diagnoses were 35 (18.2%) in New York City and 8 (7.3%) in San Francisco, respectively. The estimated annual program costs were $125,879 and $64,323 and average costs per person notified of new diagnosis were $3,563 and $8,284 in New York City and San Francisco, respectively. The primary reason for differences in program costs by site was differences in the proportion of undiagnosed HIV infection among persons tested. Our findings can inform decisions about program planning and allocation of limited HIV testing resources.
我们评估了2005年4月至2006年12月期间在纽约市和旧金山为跨性别群体提供的快速艾滋病毒检测服务的成本和效果。项目成本是从服务提供者的角度估算的，包括工作人员时间、激励措施、交通、检测试剂盒、办公空间、设备、用品和水电费等方面的成本。纽约市每年接受检测的平均人数为195人，旧金山为106人；纽约市新诊断出艾滋病毒感染的人数为35人（18.2%），旧金山为8人（7.3%）。纽约市和旧金山每年的项目成本估计分别为125,879美元和64,323美元，新诊断出感染的人均成本分别为3,563美元和8,284美元。不同地点项目成本存在差异的主要原因是接受检测人群中未确诊艾滋病毒感染的比例不同。我们的研究结果可为项目规划决策以及有限的艾滋病毒检测资源分配提供参考。
