Costs and outcomes of VCT delivery models in the context of scaling up services in Indonesia

Siregar, Adiatma Y. M.; Komarudin, Dindin; Wisaksana, Rudi; Crevel, Reinout van; Baltussen, Rob

doi:10.1111/j.1365-3156.2010.02675.x

Cited by 15 publications

(17 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Routine HIV testing in a prison setting was found to be cost-effective in the USA . Also for Indonesia, where the present study was conducted, the unit cost of counseling and testing in prisons was lower compared to other settings such as hospital-based clinics or STI/HIV community clinics, while enrollment rates in HIV care were higher (Siregar et al, 2011). Still, prisons in many countries lack the necessary resources and staff to implement routine screening for HIV infection.…”

Section: Introductionmentioning

confidence: 86%

“…To determine costs of screening, we used the unit cost of 23 USD for HIV testing from the health provider's perspective as determined in a recent health-economic study in the same prison (Siregar et al, 2011). The total cost during routine or targeted screening was calculated by multiplying the total number of inmates tested by the unit cost of 23 USD.…”

Section: Estimation Of the Screening Costsmentioning

confidence: 99%

See 1 more Smart Citation

Routine or targeted HIV screening of Indonesian prisoners

Nelwan

Ahmad

Alisjahbana

et al. 2016

International Journal of Prisoner Health

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 86%

Section: Estimation Of the Screening Costsmentioning

confidence: 99%

Routine or targeted HIV screening of Indonesian prisoners

Nelwan

Ahmad

Alisjahbana

et al. 2016

International Journal of Prisoner Health

View full text Add to dashboard Cite

show abstract

“…It found that on average, unit costs decreased with scale, but also that high levels of inefficiency were similar at any scale [ 11 ]. Since PANCEA, a number of empirical studies have found important differences in the unit cost of HTC across facilities and service delivery models in several countries including Kenya [ 12 ], Swaziland [ 12 ], Nigeria [ 13 ], Zambia [ 14 ], and Indonesia [ 15 ]. Studies comparing the unit cost of PMTCT across facilities in India [ 16 ] and Zambia [ 14 ] also found a great deal of variation.…”

Section: Introductionmentioning

confidence: 99%

Assessing cost and technical efficiency of HIV prevention interventions in sub-Saharan Africa: the ORPHEA study design and methods

Bautista‐Arredondo

Sosa-Rubí

Opuni

et al. 2014

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundScaling up services to achieve HIV targets will require that countries optimize the use of available funding. Robust unit cost estimates are essential for the better use of resources, and information on the heterogeneity in the unit cost of delivering HIV services across facilities – both within and across countries – is critical to identifying and addressing inefficiencies. There is limited information on the unit cost of HIV prevention services in sub-Saharan Africa and information on the heterogeneity within and across countries and determinants of this variation is even more scarce. The “Optimizing the Response in Prevention: HIV Efficiency in Africa” (ORPHEA) study aims to add to the empirical body of knowledge on the cost and technical efficiency of HIV prevention services that decision makers can use to inform policy and planning.Methods/DesignORPHEA is a cross-sectional observational study conducted in 304 service delivery sites in Kenya, Rwanda, South Africa, and Zambia to assess the cost, cost structure, cost variability, and the determinants of efficiency for four HIV interventions: HIV testing and counselling (HTC), prevention of mother-to-child transmission (PMTCT), voluntary medical male circumcision (VMMC), and HIV prevention for sex workers. ORPHEA collected information at three levels (district, facility, and individual) on inputs to HIV prevention service production and their prices, outputs produced along the cascade of services, facility-level characteristics and contextual factors, district-level factors likely to influence the performance of facilities as well as the demand for HIV prevention services, and information on process quality for HTC, PMTCT, and VMMC services.DiscussionORPHEA is one of the most comprehensive studies on the cost and technical efficiency of HIV prevention interventions to date. The study applied a robust methodological design to collect comparable information to estimate the cost of HTC, PMTCT, VMMC, and sex worker prevention services in Kenya, Rwanda, South Africa, and Zambia, the level of efficiency in the current delivery of these services, and the key determinants of efficiency. The results of the study will be important to decision makers in the study countries as well as those in countries facing similar circumstances and contexts.

show abstract

“…Secondly, compared to previous studies on Klinik Mawar, unit costs for mobile VCT appeared to be lower than for clinic-based VCT (US$65). 22 In addition, the mobile intervention's eff seemed positive. Increasing mobile VCT coverage may therefore be more feasible compared to the inclinic programme.…”

Section: Discussionmentioning

confidence: 99%

Comparative Cost Analysis of Four Interventions to Prevent HIV Transmission in Bandung, Indonesia

Verstraaten

Beeren

Janssen

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: the costs of HIV/AIDS interventions in Indonesia are largely unknown. Knowing these costs is animportant input for policy makers in the decision-making of setting priorities among HIV/AIDS interventions. Theaim of this analysis is to determine the costs of four HIV/AIDS interventions in Bandung, Indonesia in 2015, to informthe local AIDS commission. Methods: data on utilization and costs of the different interventions were collected in asexual transmitted infections (STI)-clinic and the KPA, the local HIV/AIDS commission, for the period of January2015-December 2015. The costs were estimated from a societal perspective, using a micro-costing approach. Results:the total annualized costs for condom distribution, mobile voluntary counselling and testing (VCT), religious basedinformation, communication, and education (IEC) and STI services equalled US$56,926, US$2,985, US$1,963 andUS$5,865, respectively. Conclusion: this analysis has provided cost estimates of four different HIV/AIDS interventionsin Bandung, Indonesia. Additionally, it has estimated the costs of scaling up these interventions. Together, this providesimportant information for policy makers vis-à-vis the implementation of these interventions. However, an evaluationof the effectiveness of these interventions is needed to estimate the cost-effectiveness.

show abstract

Costs and outcomes of VCT delivery models in the context of scaling up services in Indonesia

Cited by 15 publications

References 8 publications

Routine or targeted HIV screening of Indonesian prisoners

Routine or targeted HIV screening of Indonesian prisoners

Assessing cost and technical efficiency of HIV prevention interventions in sub-Saharan Africa: the ORPHEA study design and methods

Comparative Cost Analysis of Four Interventions to Prevent HIV Transmission in Bandung, Indonesia

Contact Info

Product

Resources

About