The cost of antiretroviral therapy in Haiti
<p>Abstract</p> <p>Background</p> <p>We determined direct medical costs, overhead costs, societal costs, and personnel requirements for the provision of antiretroviral therapy (ART) to patients with AIDS in Haiti.</p> <p>Methods</p> <p>We examine...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2008-02-01
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| Series: | Cost Effectiveness and Resource Allocation |
| Online Access: | http://www.resource-allocation.com/content/6/1/3 |
| _version_ | 1811286938362052608 |
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| author | Fitzgerald Daniel W Atwood Sidney Severe Patrice Leger Paul Riviere Cynthia Koenig Serena P Pape Jean W Schackman Bruce R |
| author_facet | Fitzgerald Daniel W Atwood Sidney Severe Patrice Leger Paul Riviere Cynthia Koenig Serena P Pape Jean W Schackman Bruce R |
| author_sort | Fitzgerald Daniel W |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>We determined direct medical costs, overhead costs, societal costs, and personnel requirements for the provision of antiretroviral therapy (ART) to patients with AIDS in Haiti.</p> <p>Methods</p> <p>We examined data from 218 treatment-naïve adults who were consecutively initiated on ART at the GHESKIO Center in Port-au-Prince, Haiti between December 23, 2003 and May 20, 2004 and calculated costs and personnel requirements for the first year of ART.</p> <p>Results</p> <p>The mean total cost of treatment per patient was $US 982 including $US 846 in direct costs, $US 114 for overhead, and $US 22 for societal costs. The direct cost per patient included generic ART medications $US 355, lab tests $US 130, nutrition $US 117, hospitalizations $US 62, pre-ART evaluation $US 58, labor $US 51, non-ART medications $US 39, outside referrals $US 31, and telephone cards for patient retention $US 3. Higher treatment costs were associated with hospitalization, change in ART regimen, TB treatment, and survival for one year. We estimate that 1.5 doctors and 2.5 nurses are required to treat 1000 patients in the first year after initiating ART.</p> <p>Conclusion</p> <p>Initial ART treatment in Haiti costs approximately $US 1,000 per patient per year. With generic first-line antiretroviral drugs, only 36% of the cost is for medications. Patients who change regimens are significantly more expensive to treat, highlighting the need for less-expensive second-line drugs. There may be sufficient health care personnel to treat all HIV-infected patients in urban areas of Haiti, but not in rural areas. New models of HIV care are needed for rural areas using assistant medical officers and community health workers.</p> |
| first_indexed | 2024-04-13T03:08:50Z |
| format | Article |
| id | doaj.art-85fb4480d29242a19c6d2e61852bfa1a |
| institution | Directory Open Access Journal |
| issn | 1478-7547 |
| language | English |
| last_indexed | 2024-04-13T03:08:50Z |
| publishDate | 2008-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Cost Effectiveness and Resource Allocation |
| spelling | doaj.art-85fb4480d29242a19c6d2e61852bfa1a2022-12-22T03:05:08ZengBMCCost Effectiveness and Resource Allocation1478-75472008-02-0161310.1186/1478-7547-6-3The cost of antiretroviral therapy in HaitiFitzgerald Daniel WAtwood SidneySevere PatriceLeger PaulRiviere CynthiaKoenig Serena PPape Jean WSchackman Bruce R<p>Abstract</p> <p>Background</p> <p>We determined direct medical costs, overhead costs, societal costs, and personnel requirements for the provision of antiretroviral therapy (ART) to patients with AIDS in Haiti.</p> <p>Methods</p> <p>We examined data from 218 treatment-naïve adults who were consecutively initiated on ART at the GHESKIO Center in Port-au-Prince, Haiti between December 23, 2003 and May 20, 2004 and calculated costs and personnel requirements for the first year of ART.</p> <p>Results</p> <p>The mean total cost of treatment per patient was $US 982 including $US 846 in direct costs, $US 114 for overhead, and $US 22 for societal costs. The direct cost per patient included generic ART medications $US 355, lab tests $US 130, nutrition $US 117, hospitalizations $US 62, pre-ART evaluation $US 58, labor $US 51, non-ART medications $US 39, outside referrals $US 31, and telephone cards for patient retention $US 3. Higher treatment costs were associated with hospitalization, change in ART regimen, TB treatment, and survival for one year. We estimate that 1.5 doctors and 2.5 nurses are required to treat 1000 patients in the first year after initiating ART.</p> <p>Conclusion</p> <p>Initial ART treatment in Haiti costs approximately $US 1,000 per patient per year. With generic first-line antiretroviral drugs, only 36% of the cost is for medications. Patients who change regimens are significantly more expensive to treat, highlighting the need for less-expensive second-line drugs. There may be sufficient health care personnel to treat all HIV-infected patients in urban areas of Haiti, but not in rural areas. New models of HIV care are needed for rural areas using assistant medical officers and community health workers.</p>http://www.resource-allocation.com/content/6/1/3 |
| spellingShingle | Fitzgerald Daniel W Atwood Sidney Severe Patrice Leger Paul Riviere Cynthia Koenig Serena P Pape Jean W Schackman Bruce R The cost of antiretroviral therapy in Haiti Cost Effectiveness and Resource Allocation |
| title | The cost of antiretroviral therapy in Haiti |
| title_full | The cost of antiretroviral therapy in Haiti |
| title_fullStr | The cost of antiretroviral therapy in Haiti |
| title_full_unstemmed | The cost of antiretroviral therapy in Haiti |
| title_short | The cost of antiretroviral therapy in Haiti |
| title_sort | cost of antiretroviral therapy in haiti |
| url | http://www.resource-allocation.com/content/6/1/3 |
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