Costing of antiretroviral treatment in Mbagathi District Hospital, Kenya
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Date
2015-03Author
Owiti, Elizabeth A
Oleche, Martine O
Language
enMetadata
Show full item recordAbstract
Kenya has made positive progress towards achieving Millennium Development Goals and Vision 2030
;
however
, HIV and AIDS
remains a major challenge,
causing premature mortality and morbidity and unless its impacts are controlled the country may not
achieve its development goals. Antiretroviral therapy is one of the response mechanisms that are bei
ng imp
lemented globally to
mitigate the impact of HIV. The objectives of this study was to estimate the unit costs of labour, l
aboratory and imaging ser
vices,
average cost per inpatient day and the average cost of outpatient visit per quarter in Mbagathi Dist
ric
t Hospital.
The cost and
health service utilization data was collected retrospectively for a period of 24 months from the ele
ctronic medical records a
nd
patient charts of 351 HIV
-
positive adults who were enrolled on ART treatment in Mbagathi. Using micro
-
c
osting and gross
-
costing methods, we estimated the economic cost of the comprehensive HIV treatment. The average cost
of outpatient visit per
quarter was estimated to be Ksh9,044 (USD120.83)during the three months of treatment debut. This dec
reased over th
e two
years of follow
-
up to Ksh5,818 (USD77.73) while the average cost per outpatient visit stood at Ksh2,001 (USD26.73).
The
average outpatient cost per annum was Ksh26,040 (USD347.90)and Ksh20,506 (USD273.96) in the first a
nd the second year of
treatmen
t, respectively. The average cost of treatment per inpatient day was Ksh1,691 (USD22.59). The averag
e labour cost per
outpatient visit was Ksh465 (USD6.21) while that of inpatient per day was Ksh575 (USD7.68). Generall
y, ART accounted for the
highest propo
rtion of costs followed by the labour and laboratory test.
The study provides new and relevant information in terms
of the unit costs of inpatient and outpatient care, labour, laboratory and imaging
Citation
Owiti, Elizabeth A., Oleche, Martine O., (2015). Costing of antiretroviral treatment in Mbagathi District Hospital, Kenya. Intenational journal of innovative research, 4(3); PP.28-37Publisher
University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10387]