Historique
Périodique
What does it cost ? An economic analysis of a harm reduction intervention in Svetlogorsk, Belarus
(Combien cela coûte ? analyse économique de la réduction des risques à Svetlogorsk, Biélorussie)
Auteur(s) :
WALKER, D. ;
KUMARANAYAKE L. ;
ROMANTSOV V. ;
SAMOSHKIN S. ;
ZVIAGIN V.
Année
2001
Page(s) :
385-395
Langue(s) :
Anglais
Refs biblio. :
12
Domaine :
Drogues illicites / Illicit drugs
Discipline :
SAN (Santé publique / Public health)
Thésaurus mots-clés
REDUCTION DES RISQUES ET DES DOMMAGES
;
ECHANGE DE SERINGUES
;
ACCES AUX SOINS
;
CONDUITE A RISQUE
;
VIH
;
SENSIBILISATION
;
COUT
;
EVALUATION
Thésaurus géographique
BELARUS
Note générale :
Drugs Education, Prevention and Policy, 2001, 8, (4), 385-395
Note de contenu :
tabl.
Résumé :
ENGLISH :
Given the expanding HIV epidemic among injecting drug users (IDUs) in Eastern Europe, there is a greater focus on harm reduction activities among IDUs. The aim of this study was to undertake an economic analysis of a harm reduction intervention in Belarus. The paper examines the nature and implementation of project activities, measures the costs of these activities, and then highlights key factors influencing the replication of these activities elsewhere. The cost analysis was performed to assess the resources required to implement the project and its unit costs. The main activities were: promotion of safe use of syringes, collection of dirty needles; promotion of safe sex, medical assistance in case of sexually transmitted diseases; psychological and legal support; and outreach services by volunteers. Total financial and economic costs were $28,524 and $32,768, respectively. When donated mass media services were included, economic costs total $148,617. The financial and economic (with mass media) unit costs ranged from $0.32 to 1.68 per disposable syringe distributed and $0.98 to 5.10 per contact. Total costs were sensitive to the valuation of mass media services. However, it is unclear to what extent mass media would have been used if the project had borne the costs. This issue is crucial when considering the sustainability and replication of similar projects elsewhere. (Author's abstract.)
Given the expanding HIV epidemic among injecting drug users (IDUs) in Eastern Europe, there is a greater focus on harm reduction activities among IDUs. The aim of this study was to undertake an economic analysis of a harm reduction intervention in Belarus. The paper examines the nature and implementation of project activities, measures the costs of these activities, and then highlights key factors influencing the replication of these activities elsewhere. The cost analysis was performed to assess the resources required to implement the project and its unit costs. The main activities were: promotion of safe use of syringes, collection of dirty needles; promotion of safe sex, medical assistance in case of sexually transmitted diseases; psychological and legal support; and outreach services by volunteers. Total financial and economic costs were $28,524 and $32,768, respectively. When donated mass media services were included, economic costs total $148,617. The financial and economic (with mass media) unit costs ranged from $0.32 to 1.68 per disposable syringe distributed and $0.98 to 5.10 per contact. Total costs were sensitive to the valuation of mass media services. However, it is unclear to what extent mass media would have been used if the project had borne the costs. This issue is crucial when considering the sustainability and replication of similar projects elsewhere. (Author's abstract.)
Affiliation :
Res. Fellow Hlth Economics, Hlth Policy Unit, London School Hygiene Tropical Med., Keppel St., London WC1E 7HT
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.