Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda
OBJECTIVE: To assess the costs associated with the provision of services for the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus in two African countries. METHODS: In 2009, the costs to health-care providers of providing comprehensive PMTCT services were assessed i...
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The World Health Organization
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| Series: | Bulletin of the World Health Organization |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000600008&lng=en&tlng=en |
| _version_ | 1797284718221197312 |
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| author | Hapsatou Touré Martine Audibert Patricia Doughty Landry Tsague Placidie Mugwaneza Elevanie Nyankesha Steve Okokwu Cedric Limbo Makan Coulibaly Virginie Ettiègne-Traoré Chewe Luo Francois Dabis |
| author_facet | Hapsatou Touré Martine Audibert Patricia Doughty Landry Tsague Placidie Mugwaneza Elevanie Nyankesha Steve Okokwu Cedric Limbo Makan Coulibaly Virginie Ettiègne-Traoré Chewe Luo Francois Dabis |
| author_sort | Hapsatou Touré |
| collection | DOAJ |
| description | OBJECTIVE: To assess the costs associated with the provision of services for the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus in two African countries. METHODS: In 2009, the costs to health-care providers of providing comprehensive PMTCT services were assessed in 20 public health facilities in Namibia and Rwanda. Information on prices and on the total amount of each service provided was collected at the national level. The costs of maternal testing and counselling, male partner testing, CD4+ T-lymphocyte (CD4+ cell) counts, antiretroviral prophylaxis and treatment, community-based activities, contraception for 2 years postpartum and early infant diagnosis were estimated in United States dollars (US$). FINDINGS: The estimated costs to the providers of PMTCT, for each mother-infant pair, were US$ 202.75-1029.55 in Namibia and US$ 94.14-342.35 in Rwanda. These costs varied with the drug regimen employed. At 2009 coverage levels, the maximal estimates of the national costs of PMTCT were US$ 3.15 million in Namibia and US$ 7.04 million in Rwanda (or < US$ 0.75 per capita in both countries). Adult testing and counselling accounted for the highest proportions of the national costs (37% and 74% in Namibia and Rwanda, respectively), followed by management and supervision. Treatment and prophylaxis accounted for less than 20% of the costs of PMTCT in both study countries. CONCLUSION: The costs involved in the PMTCT of HIV varied widely between study countries and in accordance with the protocols used. However, since per-capita costs were relatively low, the scaling up of PMTCT services in Namibia and Rwanda should be possible. |
| first_indexed | 2024-03-07T17:51:49Z |
| format | Article |
| id | doaj.art-68aacd1ea098435f94ac2c2c029278e1 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T17:51:49Z |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-68aacd1ea098435f94ac2c2c029278e12024-03-02T13:45:25ZengThe World Health OrganizationBulletin of the World Health Organization0042-968691640741510.2471/BLT.12.113639S0042-96862013000600008Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and RwandaHapsatou Touré0Martine Audibert1Patricia DoughtyLandry TsaguePlacidie Mugwaneza2Elevanie Nyankesha3Steve OkokwuCedric LimboMakan CoulibalyVirginie Ettiègne-TraoréChewe LuoFrancois Dabis4Université de BordeauxCentre d'Etudes et de Recherches sur le Développement InternationalTreatment and Research AIDS CentreTreatment and Research AIDS CentreUniversité de BordeauxOBJECTIVE: To assess the costs associated with the provision of services for the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus in two African countries. METHODS: In 2009, the costs to health-care providers of providing comprehensive PMTCT services were assessed in 20 public health facilities in Namibia and Rwanda. Information on prices and on the total amount of each service provided was collected at the national level. The costs of maternal testing and counselling, male partner testing, CD4+ T-lymphocyte (CD4+ cell) counts, antiretroviral prophylaxis and treatment, community-based activities, contraception for 2 years postpartum and early infant diagnosis were estimated in United States dollars (US$). FINDINGS: The estimated costs to the providers of PMTCT, for each mother-infant pair, were US$ 202.75-1029.55 in Namibia and US$ 94.14-342.35 in Rwanda. These costs varied with the drug regimen employed. At 2009 coverage levels, the maximal estimates of the national costs of PMTCT were US$ 3.15 million in Namibia and US$ 7.04 million in Rwanda (or < US$ 0.75 per capita in both countries). Adult testing and counselling accounted for the highest proportions of the national costs (37% and 74% in Namibia and Rwanda, respectively), followed by management and supervision. Treatment and prophylaxis accounted for less than 20% of the costs of PMTCT in both study countries. CONCLUSION: The costs involved in the PMTCT of HIV varied widely between study countries and in accordance with the protocols used. However, since per-capita costs were relatively low, the scaling up of PMTCT services in Namibia and Rwanda should be possible.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000600008&lng=en&tlng=en |
| spellingShingle | Hapsatou Touré Martine Audibert Patricia Doughty Landry Tsague Placidie Mugwaneza Elevanie Nyankesha Steve Okokwu Cedric Limbo Makan Coulibaly Virginie Ettiègne-Traoré Chewe Luo Francois Dabis Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda Bulletin of the World Health Organization |
| title | Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda |
| title_full | Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda |
| title_fullStr | Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda |
| title_full_unstemmed | Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda |
| title_short | Public sector services for the prevention of mother-to-child transmission of HIV infection: a micro-costing survey in Namibia and Rwanda |
| title_sort | public sector services for the prevention of mother to child transmission of hiv infection a micro costing survey in namibia and rwanda |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000600008&lng=en&tlng=en |
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