Table 3. Non-integrated and integrated costs to society for treatment of pre-cancerous lesions integrated into HIV-Care (2017 USD).
| Colposcopy | Cryotherapy | LEEP | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Costs | Non-Integrated | Semi-Integrated | Fully Integrated | Non-Integrated | Semi-Integrated | Fully Integrated | Non-Integrated | Semi-Integrated | Fully Integrated |
| (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | |
| Direct medical costs for clinical procedure | 33.92 (27.00, 40.79) |
33.45 (26.60, 40.22) |
33.45 (26.60, 40.22) |
21.40 (17.07, 25.63) |
21.33 (16.98, 25.55) |
21.33 (16.98, 25.55) |
49.31 (39.36, 59.33) |
49.13 (39.25, 59.11) |
49.13 (39.25, 59.11) |
| Personnel time | 0.65 (0.52, 0.78) |
0.65 (0.52, 0.78) |
0.65 (0.52, 0.78) |
0.19 (0.15, 0.22) |
0.19 (0.15, 0.22) |
0.19 (0.15, 0.22) |
1.10 (0.88, 1.32) |
1.10 (0.88, 1.32) |
1.10 (0.88, 1.32) |
| Supplies | 2.98 (2.40, 3.58) |
2.51 (2.00, 3.01) |
2.51 (2.00, 3.01) |
13.72 (10.96, 16.44) |
13.65 (10.87, 16.36) |
13.65 (10.87, 16.36) |
10.39 (8.27, 12.48) |
10.21 (8.16, 12.26) |
10.21 (8.16, 12.26) |
| Other direct medical costs incurred by patients | 30.29 (24.08, 36.43) |
30.29 (24.08, 36.43) |
30.29 (24.08, 36.43) |
7.49 (5.96, 8.97) |
7.49 (5.96, 8.97) |
7.49 (5.96, 8.97) |
37.82 (30.21, 45.53) |
37.82 (30.21, 45.53) |
37.82 (30.21, 45.53) |
| Lab costs | 6.93 (5.54, 8.33) |
6.93 (5.54, 8.33) |
6.93 (5.54, 8.33) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
| Overhead | 5.74 (4.61, 6.87) |
3.20 (2.56, 3.85) |
0.67 (0.54, 0.81) |
2.87 (2.28, 3.44 |
0.34 (0.27, 0.40) |
0.34 (0.27, 0.40) |
5.74 (4.62, 6.92) |
3.20 (2.57, 3.84) |
0.67 (0.53, 0.80) |
| Patient Transport | 27.00 (21.77, 32.41) |
13.50 (10.72, 16.19) |
0.00 (0.00, 0.00) |
13.50 (10.80, 16.21) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
27.00 (21.265, 32.54) |
13.50 (10.81, 16.26) |
0.00 (0.00, 0.00) |
| Meals for patient and visitors | 2.02 (1.63, 2.42) |
1.01 (0.81, 1.21) |
0.00 (0.00, 0.00) |
1.01 (0.81, 1.21)) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
2.02 ((1.62, 2.43) |
1.01 (0.81, 1.21) |
0.00 (0.00, 0.00) |
| Child/elderly care | 2.68 (2.13, 3.20) |
1.34 (1.07, 1.61) |
0.00 (0.00, 0.00) |
1.34 (1.08, 1.62) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
2.68 (2.15, 3.21) |
1.34 (1.07, 1.61) |
0.00 (0.00, 0.00) |
| Productivity losses* | 12.55 (10.03, 15.06) | 6.28 (5.02, 7.57) |
0.00 (0.00, 0.00) |
6.28 (5.01, 7.52) |
0.00 (0.00, 0.00) |
0.00 (0.00, 0.00) |
12.55 (10.04, 15.06) |
6.28 (5.04, 7.53) |
0.00 (0.00, 0.00) |
| Total |
90.84 (72.71, 109.08) |
65.71 (52.32, 78.98) |
41.05 (32.68, 49.36) |
46.40 (37.05, 55.63) |
21.67 (17.25, 25.95) |
21.67 (17.25, 25.95) |
99.30 (79.44, 119.49) |
74.46 (59.55, 89.56) |
49.80 (39.78, 59.91) |
*Productivity losses include loss of earnings from missed work and opportunity costs of missing other usual activities. Estimates include losses for both the patient and any visitors that accompanied the patient to the facility for care.