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How Much Does It Cost to Provide Antiretroviral Therapy for HIV/AIDS in Africa?

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dc.contributor.author Rosen, Sydney
dc.contributor.author Long, Lawrence
dc.date 2006-10-01
dc.date.accessioned 2010-01-28T20:02:08Z
dc.date.available 2010-01-28T20:02:08Z
dc.date.issued 2010-01-28T20:02:08Z
dc.identifier.uri http://sph.bu.edu/cihd/index.php?option=com_content&task=view&id=381&Itemid=617095 en_US
dc.identifier.uri http://hdl.handle.net/2144/1303
dc.description.abstract Background: Many African countries are rapidly expanding HIV/AIDS treatment programs. Empirical information on the cost of delivering antiretroviral therapy (ART) for HIV/AIDS is needed for program planning and budgeting. Methods: We searched published and gray sources for estimates of the cost of providing ART in service delivery (non-research) settings in sub-Saharan Africa. Estimates were included if they were based on primary local data for input prices. Results: 17 eligible cost estimates were found. Of these, 10 were from South Africa. The cost per patient per year ranged from $396 to $2,761. It averaged approximately $850/patient/year in countries outside South Africa and $1,700/patient/year in South Africa. The most recent estimates for South Africa averaged $1,200/patient/year. Specific cost items included in the average cost per patient per year varied, making comparison across studies problematic. All estimates included the cost of antiretroviral drugs and laboratory tests, but many excluded the cost of inpatient care, treatment of opportunistic infections, and/or clinic infrastructure. Antiretroviral drugs comprised an average of one third of the cost of treatment in South Africa and one half to three quarters of the cost in other countries. Conclusions: There is very little empirical information available about the cost of providing antiretroviral therapy in non-research settings in Africa. Methods for estimating costs are inconsistent, and many estimates combine data drawn from disparate sources. Cost analysis should become a routine part of operational research on the treatment rollout in Africa. en_US
dc.relation.ispartofseries HDDP No. 9.;Health & Development Paper Series
dc.subject HIV/AIDS en_US
dc.subject Antiretroviral therapy en_US
dc.subject Africa en_US
dc.subject cost en_US
dc.title How Much Does It Cost to Provide Antiretroviral Therapy for HIV/AIDS in Africa? en_US
dc.type Working Paper en_US


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