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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

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

TitleCost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda
Publication TypeJournal Article
Year of Publication2013
AuthorsChang, LW, Kagaayi, J, Nakigozi, G, Serwada, D, Quinn, TC, Gray, RH, Bollinger, RC, Reynolds, SJ, Holtgrave, D
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume25
Pagination652-656
Date Published//
ISBN Number09540121 (ISSN)
Accession Number22971113
Keywordsacquired immune deficiency syndrome, antiretroviral treatment, article, Community Health Workers, controlled study, cost analysis, cost benefit analysis, follow up, health care cost, health care delivery, health care personnel, health care policy, health program, health service, highly active antiretroviral therapy, human, mHealth, mHealth support intervention, mobile phone, patient care, peer health worker, priority journal, Sexual and Reproductive Health, Uganda
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. © 2013 Copyright Taylor and Francis Group, LLC.

PMCID

3773472