dc.contributor.author | Bautista-Arredondo, S | |
dc.contributor.author | Sosa-Rubí, SG | |
dc.contributor.author | Opuni, M | |
dc.contributor.author | Contreras-Loya, D | |
dc.contributor.author | Kwan, A | |
dc.contributor.author | Chaumont, C | |
dc.contributor.author | Chompolola, A | |
dc.contributor.author | Condo, J | |
dc.contributor.author | Galárraga, O | |
dc.contributor.author | Martinson, N | |
dc.contributor.author | Masiye, F | |
dc.contributor.author | Nsanzimana, S | |
dc.contributor.author | Ochoa-Moreno, I | |
dc.contributor.author | Wamai, R | |
dc.contributor.author | Wang'ombe, J | |
dc.contributor.author | ORPHEA study team | |
dc.date.accessioned | 2017-05-10T08:53:25Z | |
dc.date.available | 2017-05-10T08:53:25Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | AIDS. 2016 Oct 23;30(16):2495-2504. | en_US |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pubmed/27753679 | |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051528/ | |
dc.identifier.uri | http://hdl.handle.net/11295/100860 | |
dc.description.abstract | 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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.title | Costs along the service cascades for HIV testing and Counselling and prevention of mother-to-child transmission. | en_US |
dc.type | Article | en_US |