The Cost of Providing Comprehensive HIV Services to Key Populations: An Analysis of the LINKAGES Program in Kenya and Malawi
Rattachement africain : gb, us, Malawi, Kenya, si. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
INTRODUCTION: Timely data on HIV service costs are critical for estimating resource needs and allocating funding, but few data exist on the cost of HIV services for key populations (KPs) at higher risk of HIV infection in low- and middle-income countries. We aimed to estimate the total and per contact annual cost of providing comprehensive HIV services to KPs to inform planning and budgeting decisions. METHODS: We collected cost data from the Linkages across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES) program in Kenya and Malawi serving female and male sex workers, men who have sex with men, and transgender women. Data were collected prospectively for fiscal year (FY) 2019 and retrospectively for start-up activities conducted in FY2015 and FY2016. Data to estimate economic costs from the provider's perspective were collected from LINKAGES headquarters, country offices, implementing partners (IPs), and drop-in centers (DICs). We used top-down and bottom-up cost estimation approaches. RESULTS: Total economic costs for FY2019 were US$6,175,960 in Kenya and US$4,261,207 in Malawi. The proportion of costs incurred in IPs and DICs was 66% in Kenya and 42% in Malawi. The costliest program areas were clinical services, management, peer outreach, and monitoring and data use. Mean cost per contact was US$127 in Kenya and US$279 in Malawi, with a mean cost per contact in DICs and IPs of US$63 in Kenya and US$104 in Malawi. CONCLUSION: Actions undertaken above the service level in headquarters and country offices along with those conducted below the service level in communities, comprised important proportions of KP HIV service costs. The costs of pre-service population mapping and size estimation activities were not negligible. Costing studies that focus on the service level alone are likely to underestimate the costs of delivering HIV services to KPs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The Cost of Providing Comprehensive HIV Services to Key Populations: An Analysis of the LINKAGES Program in Kenya and Malawi
- Date Crossref
- 31/05/2023
- Éditeur
- Johns Hopkins School Bloomberg School of Public Health, Center for Communication Programs
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of York Centre for Health Economics pays non établi dans la noticeUniversité ou école supérieure
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Family Health International 360 pays non établi dans la noticeOrganisation à but non lucratif
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University of Malawi Zomba, Malawi (code pays fourni par la source)Université ou école supérieure
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Kenyatta University Nairobi, Kenya (code pays fourni par la source)Université ou école supérieure
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National Institute of Public Health Division of Health Economics and Health Systems Innovations pays non établi dans la noticeOrganisme public
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Independent researcher pays non établi dans la noticeInstitution
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Lilongwe FHI 360 Lilongwe, Malawi (pays nommé en fin d’affiliation)Organisation à but non lucratif
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FHI 360 Nairobi, Kenya (pays nommé en fin d’affiliation)Institution
Centre for Health Economics — University of York, Family Health International 360 et University of Malawi (Zomba, Malawi), avec 5 autres affiliations. Pays d’affiliation : Malawi, Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.