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. Author manuscript; available in PMC: 2019 Jan 14.
Published in final edited form as: AIDS. 2018 Jan 14;32(2):233–241. doi: 10.1097/QAD.0000000000001697

Table 1.

HIV-related healthcare costs§

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.