The per-patient costs of HIV services in South Africa: Systematic review and application in the South African HIV Investment Case

PloS One
G Meyer-RathSteve Cohen

Abstract

In economic analyses of HIV interventions, South Africa is often used as a case in point, due to the availability of good epidemiological and programme data and the global relevance of its epidemic. Few analyses however use locally relevant cost data. We reviewed available cost data as part of the South African HIV Investment Case, a modelling exercise to inform the optimal use of financial resources for the country's HIV programme. We systematically reviewed publication databases for published cost data covering a large range of HIV interventions and summarised relevant unit costs (cost per person receiving a service) for each. Where no data was found in the literature, we constructed unit costs either based on available information regarding ingredients and relevant public-sector prices, or based on expenditure records. Only 42 (5%) of 1,047 records included in our full-text review reported primary cost data on HIV interventions in South Africa, with 71% of included papers covering ART. Other papers detailed the costs of HCT, MMC, palliative and inpatient care; no papers were found on the costs of PrEP, social and behaviour change communication, and PMTCT. The results informed unit costs for 5 of 11 intervention categories in...Continue Reading

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Sep 4, 2019·Health Affairs·Cyprian M Mostert
Nov 30, 2019·African Journal of AIDS Research : AJAR·Drew B CameronJames G Kahn
Nov 30, 2019·African Journal of AIDS Research : AJAR·Willyanne DeCormier PloskyJames G Kahn
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Mar 1, 2020·Journal of the International AIDS Society·Carel PretoriusKatharine Kripke
Feb 4, 2021·Journal of the International AIDS Society·Jack StonePeter Vickerman
Apr 1, 2021·Journal of the International AIDS Society·Julianne MeisnerAlison L Drake
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Jul 1, 2021·Journal of the International AIDS Society·Lawrence C LongGesine Meyer-Rath
Jul 17, 2021·Frontiers in Medicine·Alain AmstutzNiklaus Daniel Labhardt
Oct 14, 2021·BMC Health Services Research·Arthi VasantharoopanLorna Guinness

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