PharmacoEconomics & Outcomes News 804, p11 - 2 Jun 2018 Cost impact of expanding a home- based HIV testing programme Integrating screening for non-communicable diseases (NCDs) into a home-based HIV testing and counselling (HTC) programme "results in a modest increase in costs with the potential to avert NCD death and disability," report researchers from South Africa and the US. The researchers estimated the incremental costs of integrating screening for NCDs (including diabetes mellitus, hypertension, hypercholesterolaemia and depression) as well as screening for NCD risk factors (including obesity, tobacco and alcohol use) into a home-based HTC programme. The study was conducted in January 2015 in KwaZulu-Natal, South Africa, and involved a cohort of 570 adults with a high prevalence of HIV (33%). The cost analysis showed that home-based integrated HIV-NCD testing and counselling increased programme costs by $US3.95 (42%) per person screened (from $9.36 to $13.31). Personnel costs were the largest cost component, representing 56% of the total costs, followed by supplies (25%), transportation (8%), and building and overhead (5%). The cost analysis also showed that excluding lipid testing (at $1.71 per strip) from NCD screening reduced marginal supply costs by over 80% and overall incremental costs of integrated HIV-NCD screening to 24%. "These cost data build on the sparse economic evidence assessing the value of innovative integrated models of care in low-middle income settings," note the researchers. Golovaty I, et al. Cost of integrating non-communicable disease screening into home-based HIV testing and counseling in South Africa. JAIDS : 10 May 2018. Available from: URL: http://doi.org/10.1097/QAI.0000000000001713 803322884 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804
PharmacoEconomics & Outcomes News – Springer Journals
Published: Jun 2, 2018
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