Recurrent costs of HIV/AIDS-related health services in Rwanda: implications for financing

Tropical Medicine & International Health : TM & IH
Wilm QuentinAndreas Kalk

Abstract

To estimate recurrent costs per patient and costs for a national HIV/AIDS treatment programme model in Rwanda. A national HIV/AIDS treatment programme model was developed. Unit costs were estimated so as to reflect necessary service consumption of people living with HIV/AIDS (PLWHA). Two scenarios were calculated: (1) for patients/clients in the year 2006 and (2) for potential increases of patients/clients. A sensitivity analysis was conducted to test the robustness of results. Average yearly treatment costs were estimated to amount to 504 US$ per patient on antiretroviral therapy (ART) and to 91 US$ for non-ART patients. Costs for the Rwandan HIV/AIDS treatment programme were estimated to lie between 20.9 and 27.1 million US$ depending on the scenario. ART required 9.6 to 11.1 million US$ or 41-46% of national programme costs. Treatment for opportunistic infections and other pathologies consumed 7.1 to 9.3 million US$ or 34% of total costs. Health Care in general and ART more specifically is unaffordable for the vast majority of Rwandan PLWHA. Adequate resources need to be provided not only for ART but also to assure treatment of opportunistic infections and other pathologies. While risk-pooling may play a limited role in the ...Continue Reading

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Citations

Mar 18, 2011·AIDS·Nicolas A MenziesJohn M Blandford
Apr 6, 2011·Breast Cancer Research : BCR·Wei ZhangColin R Muirhead
Oct 24, 2012·Revista da Associação Médica Brasileira·Flavia Mori SartiDenise Cavallini Cyrillo

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