Costs along the service cascades for HIV testing and Counselling and prevention of mother-to-child transmission.
Date
2016Author
Bautista-Arredondo, S
Sosa-Rubí, SG
Opuni, M
Contreras-Loya, D
Kwan, A
Chaumont, C
Chompolola, A
Condo, J
Galárraga, O
Martinson, N
Masiye, F
Nsanzimana, S
Ochoa-Moreno, I
Wamai, R
Wang'ombe, J
ORPHEA study team
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
OBJECTIVE:
We estimate facility-level average annual costs per client along the HIV testing and counselling (HTC) and prevention of mother-to-child transmission (PMTCT) service cascades.
DESIGN:
Data collected covered the period 2011-2012 in 230 HTC and 212 PMTCT facilities in Kenya, Rwanda, South Africa, and Zambia.
METHODS:
Input quantities and unit prices were collected, as were output data. Annual economic costs were estimated from the service providers' perspective using micro-costing. Average annual costs per client in 2013 United States dollars (US$) were estimated along the service cascades.
RESULTS:
For HTC, average cost per client tested ranged from US$5 (SD US$7) in Rwanda to US$31 (SD US$24) in South Africa, whereas average cost per client diagnosed as HIV-positive ranged from US$122 (SD US$119) in Zambia to US$1367 (SD US$2093) in Rwanda. For PMTCT, average cost per client tested ranged from US$18 (SD US$20) in Rwanda to US$89 (SD US$56) in South Africa; average cost per client diagnosed as HIV-positive ranged from US$567 (SD US$417) in Zambia to US$2021 (SD US$3210) in Rwanda; average cost per client on antiretroviral prophylaxis ranged from US$704 (SD US$610) in South Africa to US$2314 (SD US$3204) in Rwanda; and average cost per infant on nevirapine ranged from US$888 (SD US$884) in South Africa to US$2359 (SD US$3257) in Rwanda.
CONCLUSION:
We found important differences in unit costs along the HTC and PMTCT service cascades within and between countries suggesting that more efficient delivery of these services is possible.
URI
https://www.ncbi.nlm.nih.gov/pubmed/27753679https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051528/
http://hdl.handle.net/11295/100860
Citation
AIDS. 2016 Oct 23;30(16):2495-2504.Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10387]
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