2016
DOI: 10.1097/qad.0000000000001208
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Costs along the service cascades for HIV testing and counselling and prevention of mother-to-child transmission

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… Show more

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Cited by 27 publications
(40 citation statements)
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“…In this study, personnel costs were the key cost driver, which is similar to other studies , and can be attributed to the increased staff time spent on PMTCT tasks under Option B+. Start‐up costs and increased training provided under Option B+ also impacted on the cost of the Option B+ programme.…”
Section: Discussionsupporting
confidence: 84%
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“…In this study, personnel costs were the key cost driver, which is similar to other studies , and can be attributed to the increased staff time spent on PMTCT tasks under Option B+. Start‐up costs and increased training provided under Option B+ also impacted on the cost of the Option B+ programme.…”
Section: Discussionsupporting
confidence: 84%
“…Divergent results were found between this study, where weighted average cost per woman treated under the Option A approach was US $525 (and US $826 under Option B+), and the higher estimates in empirical work by Bautista‐Arredondo et al . . They estimated the costs per woman under the Option A approach receiving medication in Kenya, South Africa and Zambia as ranging from US $704 to US $1385 (in 2013 US $), while in Rwanda the cost of Option B+ was estimated to be US $2214 per woman .…”
Section: Discussionmentioning
confidence: 99%
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“…Our estimates for the cost‐per‐diagnosis did not vary substantially according to epidemiologic and programmatic characteristics and so appear to be generalizable to lower income countries in southern Africa, and likely elsewhere in sub‐Saharan Africa. This is a measure that is increasingly being reported by studies.…”
Section: Discussionmentioning
confidence: 99%
“…Costs per circumcision, per year on ART and of HIV testing were included and reflect comprehensive large scale costing studies conducted in Zambia 16–20. Costs were assumed to decrease according to the scale of production but increase at high coverage levels due to the need for outreach activities 21 22.…”
Section: Methodsmentioning
confidence: 99%