Table 1.
Average annual cost per client and average annual cost per virally suppressed client by refill method within the context of the Deliver Health Study, under the programmatic scenario with 3-month ART refill scripts.
| Cost category | Average annual cost per client | Average annual cost per client virally suppressed | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Home deliverya | Clinicc,d N=1,925,698 |
Home deliverye | Clinicc,d N=1,270,961 |
|||||||||
| First yearb N=81 |
Subsequent years N=81 |
First yearb N=71 |
Subsequent years N=71 |
|||||||||
| 2022 ZAR | 2022 USD | 2022 ZAR | 2022 USD | 2022 ZAR | 2022 USD | 2022 ZAR | 2022 USD | 2022 ZAR | 2022 USD | 2022 ZAR | 2022 USD | |
| Cost (% of total cost) | ||||||||||||
| ART drugs | 1,150 (9) | 70 (9) | 1150 (10) | 70 (10) | 1150 (42) | 70 (42) | 1,312 (9) | 80 (9) | 1,312 (10) | 80 (10) | 1,743 (42) | 106 (42) |
| Buildings and administrative overhead | 2,189 (17) | 134 (17) | 2,091 (18) | 128 (18) | 58 (2) | 4 (2) | 2,497 (17) | 152 (17) | 2,386 (18) | 146 (18) | 88 (2) | 5 (2) |
| Communication | 1,269 (10) | 78 (10) | 1,269 (11) | 78 (11) | 6 (0.22) | 0.36 (0.22) | 1,448 (10) | 88 (10) | 1,448 (11) | 88 (11) | 9 (0.22) | 0.55 (0.22) |
| Equipment | 1,200 (9) | 73 (9) | 150 (1) | 9 (1) | 2 (0.06) | 0.11 (0.06) | 1,369 (9) | 84 (9) | 172 (1) | 10 (1) | 3 (0.06) | 0.16 (0.06) |
| Hiring and training | 657 (5) | 40 (5) | 657 (6) | 40 (6) | 2 (0.09) | 0.15 (0.09) | 749 (5) | 46 (5) | 749 (6) | 46 (6) | 4 (0.09) | 0.22 (0.09) |
| Materials and supplies | 753 (6) | 46 (6) | 590 (5) | 36 (5) | 561 (20) | 34 (20) | 859 (6) | 52 (6) | 674 (5) | 41 (5) | 850 (20) | 52 (20) |
| Personnel wages and benefits | 4,354 (33) | 266 (33) | 4,354 (37) | 266 (37) | 960 (35) | 59 (35) | 4,968 (33) | 303 (33) | 4,968 (37) | 303 (37) | 1454 (35) | 89 (35) |
| Vehicles and fuel | 1,491 (11) | 91 (11) | 1,489 (13) | 91 (13) | 0.26 (0.01) | 0.02 (0.01) | 1,701 (11) | 104 (11) | 1,699 (13) | 104 (13) | 0.40 (0.01) | 0.02 (0.01) |
| Total f | 13,006 | 794 | 11,694 | 714 | 2,740 | 167 | 14,846 | 907 | 13,349 | 815 | 4,151 | 254 |
Abbreviations: ART = antiretroviral therapy, ZAR = South African Rand, USD = United States Dollars, HIV = Human Immunodeficiency Virus, UNAIDS = Joint United Nations
Programme on HIV/AIDS.
There were 81 people living with HIV on ART in the home-delivered ART refills group of the Deliver Health Study.
Includes startup costs.
The standard-of-care in South Africa is 3-month ART refills at clinics.
The total number of adults (aged 15 years and older) living with HIV in KwaZulu-Natal in September 2022 was 1,925,698 people. Source: UNAIDS HIV sub-national estimates viewer.
There were 71 people living with HIV on ART who were virally suppressed at study exit in the home-delivered ART refills group of the Deliver Health Study.
The average fee for home delivery service, about 4 USD, paid by clients in the home delivery intervention of the Deliver Health Study was subtracted from the programmatic costs of implementing home delivery.