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dc.contributor.authorRosen, Sydney
dc.contributor.authorLong, Lawrence
dc.date2006-10-01
dc.date.accessioned2010-01-28T20:02:08Z
dc.date.available2010-01-28T20:02:08Z
dc.date.issued2010-01-28T20:02:08Z
dc.identifier.urihttp://sph.bu.edu/cihd/index.php?option=com_content&task=view&id=381&Itemid=617095en_US
dc.identifier.urihttp://hdl.handle.net/2144/1303
dc.description.abstractBackground: 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.ispartofseriesHDDP No. 9.;Health & Development Paper Series
dc.subjectHIV/AIDSen_US
dc.subjectAntiretroviral therapyen_US
dc.subjectAfricaen_US
dc.subjectCosten_US
dc.titleHow Much Does It Cost to Provide Antiretroviral Therapy for HIV/AIDS in Africa?en_US
dc.typeWorking Paperen_US


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