The Role of Economic Evaluation in Translating HIV/AIDS Behavioral Interventions


Funded by NIMH grant 1 K01 MH095680-01; PI: Jose-Luis Burgos

Previous research suggests that HIV prevalence is raising rapidly among female sex workers in the Mexico-U.S. border region. The goal of our research study is to conduct a policy-relevant cost-effectiveness analysis during the implementation scale-up of an evidence based HIV behavioral intervention called Mujer Segura (Healthy Women) shown to be efficacious in reducing the combined incidence of HIV and sexually transmitted infections among female sex workers in controlled trials in Mexico.

This study complement the study entitled Implementation of an efficacious intervention for Female Sex Workers in Mexico (R01MH08754; PI: Dr. Patterson), which is evaluating the effectiveness and scale-up of the Mujer Segura intervention by local community-based organizations across 13 cities throughout Mexico. Our research project will study cost-effectiveness in the context of the implementation process. We will also identify barriers and facilitators for the use of economic evaluation studies in the decision-making process regarding the translation of an evidence-based HIV prevention behavioral intervention into policy in Mexico.

Our study uses a mixed methods design combining policy-makers exploratory qualitative interviews to inform and expand questionnaires to explore policy makers’ knowledge, attitudes, and barriers in the use economic evaluations in policy decision-making and in turn inform data collection and analytical framework through all stages of conducting a cost-effectiveness analysis.

The aims of this study are:

  1. To describe policy makers’ perspectives vis-a-vis institutional, political, cultural and individual factors that may facilitate or impede the use of economic evaluation research in the decision making process;
  2. 2. To quantitatively characterize Mexican policy-makers’ knowledge, attitudes toward, and the experience of translating results from economic evaluation research into the decision making process;
  3. 3. To estimate the cost-effectiveness of the Mujer Segura implementation up-scale compared with standard national counseling guidelines in Mexico incorporating Mexican policy maker’s perspectives.