Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya
<p>Abstract</p> <p>Background</p> <p>Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency.</p>...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2011-12-01
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| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/11/346 |
| _version_ | 1818755392861110272 |
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| author | Kahn James G Harris Brian Mermin Jonathan H Clasen Thomas Lugada Eric Grabowksy Mark Vestergaard Frandsen Mikkel Garg Navneet |
| author_facet | Kahn James G Harris Brian Mermin Jonathan H Clasen Thomas Lugada Eric Grabowksy Mark Vestergaard Frandsen Mikkel Garg Navneet |
| author_sort | Kahn James G |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency.</p> <p>Methods</p> <p>We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that reached 47,133 individuals (and 83% of eligible adults) in 7 days. The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter. Data were obtained primarily from logistical and expenditure data maintained by implementing partners. We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments.</p> <p>Results</p> <p>The cost per person served was $41.66 for the initial campaign and was projected at $31.98 for the SUR. The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel. The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site).</p> <p>Conclusions</p> <p>A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost. Scaling up this design may provide similar services to larger populations at lower cost per person.</p> |
| first_indexed | 2024-12-18T05:38:25Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-18T05:38:25Z |
| publishDate | 2011-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-109b2b5ae65943598519c3299334ff3e2022-12-21T21:19:14ZengBMCBMC Health Services Research1472-69632011-12-0111134610.1186/1472-6963-11-346Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural KenyaKahn James GHarris BrianMermin Jonathan HClasen ThomasLugada EricGrabowksy MarkVestergaard Frandsen MikkelGarg Navneet<p>Abstract</p> <p>Background</p> <p>Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency.</p> <p>Methods</p> <p>We quantified the resources and costs to implement a large-scale integrated prevention campaign in Lurambi Division, Western Province, Kenya that reached 47,133 individuals (and 83% of eligible adults) in 7 days. The campaign provided HIV testing, condoms, and prevention education materials; a long-lasting insecticide-treated bed net; and a water filter. Data were obtained primarily from logistical and expenditure data maintained by implementing partners. We estimated the projected cost of a Scaled-Up Replication (SUR), assuming reliance on local managers, potential efficiencies of scale, and other adjustments.</p> <p>Results</p> <p>The cost per person served was $41.66 for the initial campaign and was projected at $31.98 for the SUR. The SUR cost included 67% for commodities (mainly water filters and bed nets) and 20% for personnel. The SUR projected unit cost per person served, by disease, was $6.27 for malaria (nets and training), $15.80 for diarrhea (filters and training), and $9.91 for HIV (test kits, counseling, condoms, and CD4 testing at each site).</p> <p>Conclusions</p> <p>A large-scale, rapidly implemented, integrated health campaign provided services to 80% of a rural Kenyan population with relatively low cost. Scaling up this design may provide similar services to larger populations at lower cost per person.</p>http://www.biomedcentral.com/1472-6963/11/346 |
| spellingShingle | Kahn James G Harris Brian Mermin Jonathan H Clasen Thomas Lugada Eric Grabowksy Mark Vestergaard Frandsen Mikkel Garg Navneet Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya BMC Health Services Research |
| title | Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya |
| title_full | Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya |
| title_fullStr | Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya |
| title_full_unstemmed | Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya |
| title_short | Cost of Community Integrated Prevention Campaign for Malaria, HIV, and Diarrhea in Rural Kenya |
| title_sort | cost of community integrated prevention campaign for malaria hiv and diarrhea in rural kenya |
| url | http://www.biomedcentral.com/1472-6963/11/346 |
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