TY - JOUR
T1 - Cost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda
AU - Chang, Larry W.
AU - Kagaayi, Joseph
AU - Nakigozi, Gertrude
AU - Serwada, David
AU - Quinn, Thomas C.
AU - Gray, Ronald H.
AU - Bollinger, Robert C.
AU - Reynolds, Steven J.
AU - Holtgrave, David
PY - 2013/5/1
Y1 - 2013/5/1
N2 - A cost analysis study calculates resources needed to deliver an intervention and can provide useful information on affordability for service providers and policy-makers. We conducted cost analyses of both a peer health worker (PHW) and a mHealth (mobile phone) support intervention. Excluding supervisory staffing costs, total yearly costs for the PHW intervention was $8475, resulting in a yearly cost per patient of $8.74, per virologic failure averted cost of $189, and per patient lost to follow-up averted cost of $1025. Including supervisory staffing costs increased total yearly costs to $14,991. Yearly costs of the mHealth intervention were an additional $1046, resulting in a yearly cost per patient of $2.35. In a threshold analysis, the PHW intervention was found to be cost saving if it was able to avert 1.50 patients per year from switching to second-line antiretroviral therapy. Other AIDS care programs may find these intervention costs affordable.
AB - A cost analysis study calculates resources needed to deliver an intervention and can provide useful information on affordability for service providers and policy-makers. We conducted cost analyses of both a peer health worker (PHW) and a mHealth (mobile phone) support intervention. Excluding supervisory staffing costs, total yearly costs for the PHW intervention was $8475, resulting in a yearly cost per patient of $8.74, per virologic failure averted cost of $189, and per patient lost to follow-up averted cost of $1025. Including supervisory staffing costs increased total yearly costs to $14,991. Yearly costs of the mHealth intervention were an additional $1046, resulting in a yearly cost per patient of $2.35. In a threshold analysis, the PHW intervention was found to be cost saving if it was able to avert 1.50 patients per year from switching to second-line antiretroviral therapy. Other AIDS care programs may find these intervention costs affordable.
KW - Uganda
KW - antiretroviral treatment
KW - community health workers
KW - cost analysis
KW - mHealth
UR - http://www.scopus.com/inward/record.url?scp=84876104638&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84876104638&partnerID=8YFLogxK
U2 - 10.1080/09540121.2012.722600
DO - 10.1080/09540121.2012.722600
M3 - Article
C2 - 22971113
AN - SCOPUS:84876104638
VL - 25
SP - 652
EP - 656
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - 5
ER -