Cost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda

Larry W. Chang, Joseph Kagaayi, Gertrude Nakigozi, David Serwada, Thomas C. Quinn, Ronald H. Gray, Robert C. Bollinger, Steven J. Reynolds, David Holtgrave

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)652-656
Number of pages5
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume25
Issue number5
DOIs
StatePublished - May 1 2013

Keywords

  • Uganda
  • antiretroviral treatment
  • community health workers
  • cost analysis
  • mHealth

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

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