Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 652-656 |
| Number of pages | 5 |
| Journal | AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV |
| Volume | 25 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 1 2013 |
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Keywords
- antiretroviral treatment
- community health workers
- cost analysis
- mHealth
- Uganda
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Health(social science)
- Social Psychology
Cite this
Cost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda. / Chang, Larry; Kagaayi, Joseph; Nakigozi, Gertrude; Serwada, David; Quinn, Thomas C; Gray, Ronald H; Bollinger, Robert C; Reynolds, Steven James; Holtgrave, David R.
In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 25, No. 5, 01.05.2013, p. 652-656.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda
AU - Chang, Larry
AU - Kagaayi, Joseph
AU - Nakigozi, Gertrude
AU - Serwada, David
AU - Quinn, Thomas C
AU - Gray, Ronald H
AU - Bollinger, Robert C
AU - Reynolds, Steven James
AU - Holtgrave, David R
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 - antiretroviral treatment
KW - community health workers
KW - cost analysis
KW - mHealth
KW - Uganda
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 -