Table 1.
Health care provision | Unit cost (2014 USD) |
---|---|
HIV testing (cost per diagnostic test) | 15[19] |
Pre-antiretroviral therapy care (per-person-year) | |
CD4 count >350 cells per μL | 97[22] |
CD4 count >200–350 cells per μL | 106[22] |
CD4 count ≤200 cells per μL | 141[22] |
Initiation of antiretroviral therapy (cost per initiation) | |
Patients in pre-antiretroviral therapy care | 37[22] |
Patients not in pre-antiretroviral therapy care | 50[22] |
ART costs | |
Cost of ART drug provision (per person-year) | 214[23] |
Health-care use for HIV-positive people not linked to care (per person-year) | |
CD4 count >350 cells per μL, not in HIV care | 4[22] |
CD4 count >200–350 cells per μL, not in HIV care | 13[22] |
CD4 count ≤200 cells per μL, not in HIV care | 48[22] |
End-of-life care (per death) | 38[22] |
Supply-chain management and programmatic support | |
Supply-chain management | 20% mark-up on all ART costs[22] |
Programmatic support† | 50% mark-up on all non-ART costs[22] |
Costs from Zambia (Eaton et. al) were adapted to Kenya using the ratio of two country’s gross domestic product per capita. ART costs were obtained from a national costing analysis from Kenya. HIV testing costs were obtained from a facility-based costing study in Kenya. All costs were inflated to 2014 Kenyan shillings and converted to 2014 US dollars. Health-care use for HIV-positive persons not linked to care includes both outpatient and inpatient costs.
The mark-up for programmatic support applies to non-intervention costs only.