Table 2.
Economic cost to caregiving for perinatally HIV infected adolescents
| Cost component | Mean monthly costs per caregiver | Median USD [IQR] | Proportion of total costsc (%) | |
|---|---|---|---|---|
| Kenyan shilling (SD) | USDa (SD) | |||
| Direct costs | ||||
| Direct medical cost | ||||
| Administrative costs | 39.34 (95.74) | 0.39 (0.96) | 0.0 [0.0–0.2] | 1.41 |
| Diagnostics | 53.72 (168.73) | 0.54 (1.69) | 0.0 [0.0–0.0] | 1.93 |
| Medicine | 231.14 (427.21) | 2.31 (4.27) | 0.0 [0.0–3.0] | 8.31 |
| Other medical costs | 0.00 (0.00) | 0.0 (0.00) | 0.0 [0.0–0.0] | 0.00 |
| Subtotal | 324.20 (565.06) | 3.24 (5.65) | 0.5 [0.0–4.0] | 11.65 |
| Direct non-medical cost | ||||
| Travel | 1111.49 (931.43) | 11.11 (9.31) | 8.0 [4.0–16.0] | 39.92 |
| Food | 233.79 (270.36) | 2.34 (2.70) | 1.6 [0.0–3.7] | 8.40 |
| Bed charges | 2.50 (27.39) | 0.03 (0.27) | 0.0 [0.0–0.0] | 0.08 |
| Subtotal | 1347.78 (1104.25) | 13.48 (11.04) | 9.5 [5.6–20.1] | 48.40 |
| Total direct costs | 1671.98 (1221.76) | 16.72 (12.22) | 12.0 [7.5–24.3] | 60.05 |
| Indirect costs (Productivity costs)b | ||||
| Absenteeism | 733.69 (725.98) | 7.34 (7.26) | 4.1 [4.1–8.2] | 26.35 |
| Presenteeism | 378.84 (122.83) | 3.79 (1.23) | 3.8 [3.0–4.5] | 13.60 |
| Total indirect costs | 1112.53 (753.05) | 11.13 (7.53) | 8.8 [7.1–13.3] | 39.95 |
| Grand Total Cost | 2784.51 (1492.33) | 27.85 (14.92) | 25.5 [16.4–37.6] | 100.00 |
aUSD – United States Dollar; 1.00USD equivalent to Kenyan shilling 100.4 (Central Bank of Kenya monthly interbank exchange rate, August 2018)
b Absenteeism (days caregiver was completely unable to work), Presenteeism (The decrement in performance associated with the caregiver remaining at work while impaired by adolescent health problems, hours lost converted to days). Valuation was done using per capita GDP in 2017 (Ksh 411/day) (World Bank data [36])
c Percentage computed by diving the total cost from the cost component item by the grant total cost and multiplying the result by 100
IQR-Interquartile range