Ontology highlight
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.
SUBMITTER: Bautista-Arredondo S
PROVIDER: S-EPMC5051528 | biostudies-literature | 2016 Oct
REPOSITORIES: biostudies-literature
Bautista-Arredondo Sergio S Sosa-Rubí Sandra G SG Opuni Marjorie M Contreras-Loya David D Kwan Ada A Chaumont Claire C Chompolola Abson A Condo Jeanine J Galárraga Omar O Martinson Neil N Masiye Felix F Nsanzimana Sabin S Ochoa-Moreno Ivan I Wamai Richard R Wang'ombe Joseph J
AIDS (London, England) 20161001 16
<h4>Objective</h4>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.<h4>Design</h4>Data collected covered the period 2011-2012 in 230 HTC and 212 PMTCT facilities in Kenya, Rwanda, South Africa, and Zambia.<h4>Methods</h4>Input quantities and unit prices were collected, as were output data. Annual economic costs were estimated from the service providers' perspective using ...[more]