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Costing of HIV services, Uganda and United Republic of Tanzania.
- Source :
-
Bulletin of the World Health Organization . Oct2023, Vol. 101 Issue 10, p626-636. 11p. - Publication Year :
- 2023
-
Abstract
- Objective To evaluate resource allocation and costs associated with delivery of human immunodeficiency virus (HIV) services in Uganda and the United Republic of Tanzania. Methods We used time-driven activity-based costing to determine the resources consumed and costs of providing five HIV services in Uganda and the United Republic of Tanzania: antiretroviral therapy (ART); HIV testing and counselling; prevention of mother-to-child transmission; voluntary male medical circumcision; and pre-exposure prophylaxis. Findings Country-based teams undertook time-driven activity-based costing with 1119 adults in Uganda and 886 adults in the United Republic of Tanzania. In Uganda, service delivery costs ranged from 8.18 United States dollars (US$) per visit for HIV testing and counselling to US$ 43.43 for ART (for clients in whom HIV was suppressed). In the United Republic of Tanzania, these costs ranged from US$ 3.67 per visit for HIV testing and counselling to US$ 28.00 for voluntary male medical circumcision. In both countries, consumables were the main cost driver, accounting for more than 60% of expenditure. Process maps showed that in both countries, registration, measurement of vital signs, consultation and medication dispensing were the steps that occurred most frequently for ART clients. Conclusion Establishing a rigorous, longitudinal system for tracking investments in HIV services that includes thousands of clients and numerous facilities is achievable in different settings with a high HIV burden. Consistent engagement of implementation partners and standardized training and data collection instruments proved essential for the success of these exercises. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MEDICAL economics
*DIAGNOSIS of HIV infections
*HIV prevention
*HIV infections
*COUNSELING
*SCIENTIFIC observation
*CIRCUMCISION
*CROSS-sectional method
*MEDICAL care costs
*ANTIRETROVIRAL agents
*AIDS serodiagnosis
*PRE-exposure prophylaxis
*RESEARCH funding
*VERTICAL transmission (Communicable diseases)
Subjects
Details
- Language :
- English
- ISSN :
- 00429686
- Volume :
- 101
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Bulletin of the World Health Organization
- Publication Type :
- Academic Journal
- Accession number :
- 172447982
- Full Text :
- https://doi.org/10.2471/BLT.22.289580