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. 2014 Jan 22;9(1):e85197. doi: 10.1371/journal.pone.0085197

Table 1. Summary of base case input parameters and sensitivity analyses ranges examined for an analysis of a mobile HIV testing unit Cape Town, South Africa.

Variable Base Case Range Ref.
Baseline cohort characteristics
Male subjects (%) 44 30–80 [26]
Age, mean years (SD) 33 (13) 20–44 [26]
Prevalence of undiagnosed HIV (%) 6.6 1–30 [26]
HIV-infected patients CD4 count at diagnosis (mean cells/µL (SD))
Mobile unit testing Male* 423 (236) [26]
Female 516 (272) [26]
Medical facility-based testing Male 291 (203) [18], [26]
Female 357 (242) [18], [26]
HIV screening
Mobile unit testing characteristics (one-time HIV test and POC CD4 count offer)
HIV test acceptance probability (%) Male* 97 70–99 [26]
Female 95 70–99 [26]
Initial HIV test (Bioline HIV-1/2 3.0, Standard Diagnostics, South Korea) [57]
Test sensitivity (%) 100
Test specificity (%) 99
Confirmatory HIV test (Determine HIV-1/2, Abbott Laboratories, UK) [57]
Test sensitivity (%) 100
Test specificity (%) 100
CD4 count POC test (Alere PIMA™ Analyzer, Waltham, MA, USA)
CD4 count acceptance probability (%) 91 70–99 [26]
CD4 >350 cells/µL Male* 31 20–98
Female 51 20–98
CD4 201–350 cells/µL 49 20–98
CD4 <200 cells/µL 58 20–98
Medical facility-based program average HIV test frequency [18]
HIV positive result Every 4.0 yrs 1–10 yrs
HIV negative result Every 5.7 yrs 1–10 yrs
Loss to follow-up and return to care
Probability of loss to follow-up [58], [59]
Pre-ART (monthly) 0.0108 0.005–0.02
On ART (monthly) Adherence >95% 0.0016
Adherence <50% 0.0108 0.005–0.02
Probability of return to care Assumption
With acute WHO stage 3–4 disease or TB 0.50
Without WHO stage 3–4 disease or TB after first year lost (monthly) 0.01 0.005–0.02
ART treatment
Initiation at WHO stage 3–4 disease presentation, TB, or CD4 <350/µL [9], [32]
Monthly CD4 count increase on suppressive ART (cells/µL) [41]
Initial 8 weeks 67
After 8 weeks 3
HIV screening costs (2012 US$)
Mobile testing intervention (2-year) (×1,000) [26]
Purchase and modification 152.0
Mobile van resale value (56.4)
Medical/counselor salaries 216.2
Administrative salaries/maintenance§ 209.8
Total 2-year mobile unit intervention cost 521.6 250–1,000
No. of individuals offered a test over 2-yrs 18,870 9,440–28,310
Per-person mobile unit cost (excluding HIV test costs) 27.60 13.60–54.40
Initial HIV test 1.70 0–8.50
Confirmatory HIV test 2.00
Total per-person mobile unit cost (including HIV test costs)
HIV-negative result 29.30 14.70–44.00
HIV-positive result 31.30 15.70–46.95
POC CD4 count 7.70 0–38.00
Medical facility-based HIV testing programs [45]
HIV-positive result 13.90
HIV-negative result 9.30
Clinical care costs (2012 US$)
Co-trimoxazole prophylaxis cost (monthly) 1.40 [34]
ART regimen cost (monthly) [33]
First-line 13.30
Second-line 40.30
Laboratory CD4 count test cost 13.90 [35]
HIV RNA cost 69.50 [35]
Inpatient hospital cost, per day 315.10 [35]
Outpatient hospital cost, per visit 32.60 [35]
*

Statistically significant difference between males and females.

Parameter derived and/or calculated from reference data.

Comprising of one nurse practitioner ($84,200), one registered nurse ($71,100), three counselors ($47,500), one educator ($1,200) and one nurse practitioner at 20% time ($12,200).

§

Made up of one driver ($27,100), one project manager ($152,300), one data capturer/administrator ($22,000), diesel ($7,500) and general maintenance ($900).

Assumed that van could be resold after 2 years of use.

Costs include initial and confirmatory HIV test, staff salaries, and space in a voluntary counseling and testing site.

SD: standard deviation; POC: point-of-care; ART: antiretroviral therapy; WHO: World Health Organization; TB: tuberculosis.