Skip to main content
. Author manuscript; available in PMC: 2014 Jul 29.
Published in final edited form as: Lancet Glob Health. 2013 Dec 10;2(1):23–34. doi: 10.1016/S2214-109X(13)70172-4

Table 2.

Unit costs and disability weights (all costs in 2012 US dollars).e

Costs Disability weights

South
Africa
Zambia India Vietnam Health state Disability
weighta
On ART, ARV drug cost (ppy) $143 $141 $91 $105 HIV+, CD4 >350 (untreated)b 0.053
On ART, non-ARV cost (ppy) $422 $217 $128 $198 HIV+, CD4 200–350 (untreated) 0.221
ART initiation, from pre-ART care (per initiation) $95 $49 $29 $45 HIV+, CD4 ≤200 (untreated) 0.547
ART initiation, not in pre-ART care (per initiation) $126 $65 $38 $59 HIV+, on ART 0.053

Pre-ART care, CD4 > 350 (ppy) $205 $127 $73 $145 TB disease 0.331
Pre-ART care, CD4 200–350 (ppy) $238 $139 $81 $150
Pre-ART care, CD4 ≤200 (ppy) $359 $185 $109 $169

HIV testing & linkage: general pop. (per client) $20 $10 $6 $9
HIV testing & linkage: FSW, MSM, PWID (per client) $67 $34 $20 $31

Healthcare utiliz., CD4 >350, not in care (ppy) $13 $5 $3 $2
Healthcare utiliz., CD4 200–350, not in care (ppy) $46 $17 $11 $7
Healthcare utiliz., CD4 ≤200, not in care (ppy) $167 $63 $39 $26
End of life cost (per death) $160 $50 $34 $32
TB treatment (per case treated) $364 $188 $110 $172

Supply chain management (percentage mark-up)c 20% 20% 20% 20%
Programmatic support (percentage mark-up)d 50% 50% 50% 50%

ppy = per person-year

a

Disability weights based on Salomon et al (2012).15 For individuals with co-morbidity (e.g. concurrent HIV and TB disease), disability weights were compounded multiplicatively.

b

It was assumed that HIV-infection with CD4 ≥350 incurs the same disability, 0.053, as individuals receiving ART.

c

Mark-up assessed on ARV drug cost.

d

Mark-up assessed on all costs except for ARV drugs.

e

Full description of costing framework and sources of cost data described in the Supplementary Information, Section 1.3.