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. 2020 Jun 19;23(Suppl 1):e25499. doi: 10.1002/jia2.25499

Table 6.

Costs and DALYs required/saved by the integrated HIV and NCD care in Kenya a , b

  National Nairobi region Central region Coast region
Saved costs (2018 US dollars)
Acute CVD care

0.22

[0.19 to 0.24] billion

16.94

[14.77 to 19.01] million

40.70

[37.72 to 43.45] million

15.85

[13.64 to 18.02] million

Non‐acute CVD care

0.15

[0.11 to 0.20] billion

14.33

[10.43 to 18.56] million

32.18

[26.82 to 37.56] million

11.08

[7.02 to 18.02] million

Additional costs (2018 US dollars)
ART

1.18

[1.17 to 1.20] billion

133.71

[132.20 to 135.16] million

83.81

[82.45 to 85.13] million

91.16

[89.83 to 92.51] million

Diabetes treatment

1.28

[1.27 to 1.29] billion

211.9

[210.67 to 213.23] million

207.46

[206.27 to 208.58] million

84.18

[83.36 to 84.98] million

Hypertension treatment
Screening for HIV

603.34

[603.12 to 603.58] million

62.03

[62.00 to 62.05] million

67.63

[67.61 to 67.65] million

50.56

[50.54 to 50.59] million

Screening for diabetes and hypertension

34.24

[34.22 to 34.25] million

3,519.73

[3,521.09 to 3,518.35] thousand

3,837.83

[3,839.01 to 3,836.62] thousand

2,869.06

[2,870.42 to 2,867.70] thousand

Total Costs (2018 US dollars)
Incremental costs

6.68

[6.61 to 6.74] billion

632.95

[626.79 to 638.75] million

945.29

[937.44 to 93.05] million

471.59

[466.08 to 476.99] million

Total DALYs
Incremental DALYs averted

7.76

[8.01 to 7.51] million

839.13

[811.93 to 865.24]

632.88

[608.74 to 657.06]

576.82

[547.86 to 604.93]

Incremental costs per DALY (2018 USD)
 

860.36

[830.59 to 890.66]

754.04

[729.63 to 780.26]

1,493.07

[1,435.63 to 1,555.65]

818.01

[864.38 to 776.50]

a

Non‐communicable diseases (NCD); Disability‐adjusted life year (DALY); Cardiovascular disease (CVD).

b

Values represent the differences in simulated costs and DALYs between the baseline and intervention at a national and regional level. Future costs are discounted at 3%. Values represents the median [95% uncertainty ranges] across 2,000 random simulations.