查看文章

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 …