Table 2.
Volume-weighted mean unit costs per clinical service in Kenya and Malawi, LINKAGES program, FY 2019 in US$ 2019
| Country | Clinical service | Indicator | N | Direct clinical service | Condoms and lubricants | Indirect | Total unit cost | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC | 95% CI | UC | 95% CI | UC | 95% CI | UC | 95% CI | ||||
| Kenya | PEP | Treated | 25 | 95 | 76–114 | 5 | 1–9 | 356 | 295–416 | 456 | 350–562 |
| PREP | On PrEPa | 30 | 127 | 90–165 | 51 | 27–74 | 456 | 350–562 | 635 | 484–785 | |
| HTS | Tested | 30 | 5 | 4–6 | 5 | 3–7 | 14 | 12–16 | 24 | 21–27 | |
| ART | On ARTa | 30 | 162 | 125–198 | 54 | 29–79 | 152 | 132–172 | 368 | 298–438 | |
| STI | Screened | 30 | 2 | 2–3 | 5 | 3–6 | 11 | 10–12 | 18 | 16–21 | |
| SRH | Provided CM | 23 | 15 | 13–18 | 7 | 2–12 | 73 | 66–80 | 95 | 72–117 | |
| MSV | Provided post-GBV care | 29 | 13 | 10–17 | 6 | 1–11 | 71 | 56–86 | 90 | 69–110 | |
| Malawi | HTS | Tested | 15 | 25 | 19–30 | 3 | 1–4 | 57 | 46–67 | 84 | 73–94 |
| ART | On ARTa | 15 | 260 | 177–344 | 26 | 14–38 | 471 | 407–535 | 757 | 608–907 | |
| STI | Screened | 15 | 9 | 7–10 | 2 | 1–2 | 30 | 27–34 | 41 | 37–44 | |
| SRH | Provided CM | 11 | 31 | 27–35 | 1 | 1–2 | 75 | 66–85 | 108 | 70–145 | |
| MSV | Provided post-GBV care | 15 | 305 | 242–367 | 2 | 1–3 | 933 | 897–969 | 1240 | 1156–1324 | |
FY 2019 refers to U.S. Government fiscal year from October 1, 2018 to September 30, 2019, UC unit cost, 95% CI 95% confidence interval, N number of drop-in centers, PEP post-exposure prophylaxis, PrEP pre-exposure prophylaxis, HTS HIV testing services, ART antiretroviral therapy, STI sexually transmitted infections, SRH sexual and reproductive health, MSV management of sexual violence, CM contraceptive method, GBV gender-based violence. Given the small number of outputs, the unit cost was not calculated for PrEP in Malawi.aFor PrEP and ART, unit costs represent the annual cost per person on PrEP and ART