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
N1 - Funding Information:
This study was supported by the Doris Duke Charitable Foundation, The Division of Intramural Research, The National Institute for Allergy and Infectious Diseases, National Institutes of Health, and National Institutes of Health Training (2T32-AI07291) and Career Development (1K23MH086338-01A2) Grants. PEPFAR funded provision of drugs and HIV care to study participants. Authors thank the patients and staff of the Rakai Health Sciences Program for their dedication, support, and compassion.
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
SN - 0954-0121
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
IS - 5
ER -