Cost of Integrating Noncommunicable Disease Screening Into Home-Based HIV Testing and Counseling in South Africa

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Ilya GolovatyRuanne V Barnabas

Abstract

Integrated HIV-noncommunicable disease (NCD) services have the potential to avert death and disability but require data on program costs to assess the impact of integrated services on affordability. We estimated the incremental costs of NCD screening as part of home-based HIV testing and counseling (HTC) and referral to care in KwaZulu-Natal, South Africa. All adults in the households were offered integrated HIV-NCD screening (for HIV, diabetes, hypertension, hypercholesterolemia, obesity, depression, tobacco, and alcohol use), counseling, and linkage to care. We conducted comprehensive program microcosting including ingredient-based and activity-based costing, staff interviews, and time assessment studies. Sensitivity analyses varied cost inputs and screening efficiency. Integrating all-inclusive NCD screening as part of home-based HTC in a high HIV prevalence setting increased program costs by $3.95 (42%) per person screened (from $9.36 to $13.31 per person). Integrated NCD screening, excluding point-of-care cholesterol testing, increased program costs by $2.24 (24%). Furthermore, NCD screening integrated into HTC services reduced the number of persons tested by 15%-20% per day. Integrated HIV-NCD screening has the potential ...Continue Reading

References

Aug 1, 2006·Bulletin of the World Health Organization·Harry Peter HauslerPeter Godfrey-Faussett
Apr 30, 2011·International Journal of Epidemiology·Shona DalalMichelle D Holmes
Sep 1, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Miriam Rabkin, Sania Nishtar
Sep 25, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Andrew H BriggsUNKNOWN ISPOR-SMDM Modeling Good Research Practices Task Force
Dec 18, 2013·The Lancet Infectious Diseases·Paul K DrainIngrid V Bassett
Jan 19, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Elisabeth L VodickaMichael H Chung
Oct 25, 2017·Journal of the International AIDS Society·Alastair van HeerdenConnie Celum

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