Table 1:
HIV-related healthcare costs for South Africa *
| Parameter | Cost |
|---|---|
| Facility HIV test(32) | |
| HIV− test | $3.62 |
| HIV+ test | $5.62 |
| ART costs per year (including supply chain)(18) | |
| 1st line regimen* | $90 |
| 2nd line regimen§ | $318 |
| ART program costs per year (health facility) | $80 |
| ART program costs per year (DSD due to VL <1000) | $40 |
| Annual health-care for HIV-positive persons not in care(33) | |
| CD4 count >350 cells per μL | $11 |
| CD4 count >200–350 cells per μL | $39 |
| CD4 count ≤200 cells per μL | $142 |
| End of life care (per death) | $136 |
| Diagnostic tests (centralized laboratory)(6) | |
| CD4 | $6.03 |
| VL test | $25.98 |
| Creatinine | $3.41 |
| Diagnostic tests (POC) by monthly clinic volume(6) ¥ | |
| Clinic volume 10 | |
| CD4 | $24.41 |
| VL | $46.51 |
| Creatinine | $9.71 |
| Clinic volume 20 | |
| CD4 | $16.09 |
| VL | $33.31 |
| Creatinine | $9.14 |
| Clinic volume 30 | |
| CD4 | $13.32 |
| VL | $28.91 |
| Creatinine | $8.96 |
| Clinic volume 40 | |
| CD4 | $11.94 |
| VL | $26.71 |
| Creatinine | $8.86 |
| Clinic volume 50 | |
| CD4 | $11.11 |
| VL | $25.39 |
| Creatinine | $8.81 |
*
ART: antiretroviral therapy, DSD: differentiated service delivery, POC: point-of-care, VL: viral load. HIV test and diagnostic test costs refer to cost per test conducted.
*
1st line ART regimen consisting of tenofovir, lamivudine, and efavirenz
§
2nd line ART regimen consisting of lopinavir/ritonavir
¥
Clinic volume refers to the number of patient initiating ART per month