Table 2. Estimated total and average economic costs (2019 USD).
POWER study scenario | MoH scenario | Scaled-MoH scenario | ||||
---|---|---|---|---|---|---|
Annual cost | Cost/client-month of PrEP | Annual cost | Cost/client-month of PrEP | Annual cost | Cost/client-month of PrEP | |
Variable inputs | ||||||
Personnel (clinical staff) | 2705 | 1.74 | 2562 | 1.65 | 14536 | 1.90 |
Medication | 13620 | 8.77 | 10907 | 7.02 | 53670 | 7.02 |
Laboratory and HIV testing | 782 | 0.50 | 782 | 0.50 | 5044 | 0.66 |
Variable total | 17107 | 11.01 | 14251 | 9.17 | 73250 | 9.58 |
Fixed inputs | ||||||
Training (start-up) | 97 | 0.06 | 52 | 0.03 | 52 | 0.01 |
Training (refresher) | 257 | 0.17 | 6 | 0.00 | 6 | 0.00 |
Demand creation | 11436 | 7.36 | 125 | 0.08 | 125 | 0.02 |
Personnel (supervision and administration) | 2391 | 1.54 | 1089 | 0.70 | 1089 | 0.14 |
Capital (vehicle, furniture, clinical equipment) | 2513 | 1.62 | 1478 | 0.95 | 1478 | 0.19 |
Overhead (building, utilities, fuel, maintenance, internet) | 11133 | 7.16 | 5566 | 3.58 | 7198 | 0.94 |
Fixed Total | 27826 | 17.91 | 8315 | 5.35 | 9946 | 1.30 |
Total variable and fixed costs | 44933 | 28.92 | 22566 | 14.52 | 83196 | 10.88 |
MoH = Ministry of Health; PrEP = Pre-exposure prophylaxis.