Table 2.
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
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.
It was assumed that HIV-infection with CD4 ≥350 incurs the same disability, 0.053, as individuals receiving ART.
Mark-up assessed on ARV drug cost.
Mark-up assessed on all costs except for ARV drugs.
Full description of costing framework and sources of cost data described in the Supplementary Information, Section 1.3.