Evaluating Social Impact The Mobile Outreach Program’s Success in Hepatitis C Treatment and Investment Return

Introduction:

Assessing the Social Return on Investment in Hepatitis C Care

The World Drug Report emphasizes that Hepatitis C is a leading cause of liver disease, contributing to around 700,000 deaths annually. People who inject drugs (PWID) are among the highest-risk groups for HCV transmission, accounting for 78% of new cases in Europe.

Key Findings:

  • The Mobile Outreach Program (MOP) in Lisbon, Portugal, integrates harm reduction, screening, and treatment for high-risk populations.
  • For every €1 invested, the program delivers a return of €3.87 to society, demonstrating significant social and economic benefits.
  • Between 2018 and 2020, the program:
    • Treated 130 individuals for HCV.
    • Helped 37 individuals reintegrate into active employment.
    • Reduced petty crimes linked to drug dependency.
    • Achieved a cost saving of €2.6 million for the Portuguese National Health System (NHS) by preventing severe liver disease.

The Mobile Outreach Program (MOP): A Community-Driven Solution

The MOP, led by the NGO Ares do Pinhal, is a mobile harm reduction initiative delivering daily medical and psychosocial services to over 1,200 drug users in Lisbon. The program ensures:

  • Needle-exchange services.
  • Directly observed HCV treatment at mobile units.
  • On-site specialist consultations via partnerships with hospital gastroenterologists.

Societal and Health Benefits: A Measurable Impact

The study identified three monetizable benefits:

  • Economic reintegration of drug users, contributing tax revenues and reducing social benefit dependencies.
  • Healthcare cost savings by preventing progression to liver cancer and cirrhosis.
  • Reduction in crime rates related to substance use, decreasing public spending on policing and administrative procedures.

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