Table 4.
Mean cost per enrolled client per annum (US$) | FBIM | CCLAD | CDDP | FBG | FDR | Overall | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
0-12 m | 13-24 m | 0-12 m | 13-24 m | 0-12 m | 13-24 m | FBG1 | FBG2 | 0-12 m | 13-24 m | 0-12 m | 13-24 m | |
(n = 128) | (n = 126) | (n = 131) | (n = 130) | (n = 132) | (n = 132) | (n = 129) | (n = 115) | (n = 133) | (n = 132) | (n = 653) | (n = 635) | |
ARVs (including SCMa costs) | 108.31 | 115.33 | 104.48 | 103.20 | 116.89 | 112.76 | 104.75 | 96.88 | 136.83 | 133.96 | 114.38 | 112.84 |
Non-ARV meds (including SCM costs) | 20.17 | 9.99 | 16.71 | 20.10 | 22.17 | 10.12 | 22.07 | 13.13 | 23.44 | 11.10 | 20.92 | 12.89 |
Laboratory tests | 14.10 | 13.04 | 14.99 | 11.21 | 14.96 | 11.40 | 14.75 | 14.85 | 13.84 | 11.75 | 14.52 | 12.38 |
Facility visits (HR costsb) | 6.27 | 5.00 | 4.09 | 2.55 | 2.02 | 1.47 | 11.26 | 6.90 | 6.22 | 4.77 | 5.95 | 4.06 |
DSDM events (HR costs) | c | c | 0.29 | 0.17 | 0.31 | 0.17 | 0.16 | 0.06 | c | c | 0.15 | 0.08 |
Site-level costs: transport, overheads | 4.50 | 4.50 | 7.40 | 7.40 | 7.86 | 7.86 | 4.51 | 4.22 | 2.10 | 2.10 | 5.27 | 5.24 |
Above-site costs: supervision, training, materials, management | 4.58 | 4.62 | 5.44 | 5.44 | 2.65 | 2.65 | 5.28 | 5.24 | 2.77 | 2.79 | 4.13 | 4.11 |
DSDM cost ($) per enrolled | 157.93 | 152.49 | 153.39 | 150.07 | 166.85 | 146.42 | 162.77 | 141.29 | 185.20 | 166.48 | 165.33 | 151.61 |
client per year (mean, SD) | (62.51) | (72.04) | (57.78) | (54.94) | (82.34) | (59.52) | (79.53) | (33.7) | (104.47) | (82.51) | (79.76) | (63.65) |
Service delivery costs (excl. ARVs, labs & non-ARV meds) | 15.35 | 14.12 | 17.22 | 15.56 | 12.84 | 12.14 | 21.20 | 16.43 | 11.09 | 9.66 | 15.51 | 13.50 |
Note these costs relate to the entire cohort, that is, those clients in care at the beginning of each annual study period
a SCM = supply chain management
b Facility visits included human resource costs for ARV refills, fast-track refills, clinical assessments, TB assessments, counselling, drawing blood for lab tests, and unscheduled visits
c FBIM and FDR did not have any community-based DSDM events